Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $110.53 / $189.28 / $283.85	Professional		$110.53	$189.28	$283.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $401.54 / $481.84 / $535.38	Facility		$401.54	$481.84	$535.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $90.51 / $114.29 / $427.38	Professional		$90.51	$114.29	$427.38
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $207.42 / $223.03 / $223.03	Facility		$207.42	$223.03	$223.03
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $223.03 / $223.03 / $223.03	Professional		$223.03	$223.03	$223.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $341.55 / $341.55 / $341.55	Facility		$341.55	$341.55	$341.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.49 / $128.49 / $128.49	Professional		$128.49	$128.49	$128.49
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $281.07 / $361.38 / $580.89	Professional		$281.07	$361.38	$580.89
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $153.27 / $153.27 / $153.27	Facility		$153.27	$153.27	$153.27
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $153.27 / $153.27 / $267.69	Professional		$153.27	$153.27	$267.69
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $341.55 / $555.00 / $597.00	Facility		$341.55	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $128.49 / $128.49 / $485.42	Professional		$128.49	$128.49	$485.42
United Facility/Professional Professional Modifier Low / Median / High Price $89.03 / $133.55 / $230.73	Professional		$89.03	$133.55	$230.73
Univera Facility/Professional Professional Modifier Low / Median / High Price $153.27 / $162.85 / $267.69	Professional		$153.27	$162.85	$267.69