Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $213.80 / $269.15	Professional		$109.65	$213.80	$269.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $489.78 / $489.78	Facility		$363.08	$489.78	$489.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $199.53 / $446.68	Professional		$199.53	$199.53	$446.68
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $199.53 / $199.53	Facility		$186.21	$199.53	$199.53
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $199.53 / $199.53	Professional		$199.53	$199.53	$199.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $436.52 / $436.52	Facility		$436.52	$436.52	$436.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $114.82 / $295.12	Professional		$114.82	$114.82	$295.12
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $316.23 / $524.81	Professional		$245.47	$316.23	$524.81
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $138.04 / $138.04	Facility		$138.04	$138.04	$138.04
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $151.36 / $204.17	Professional		$138.04	$151.36	$204.17
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $234.42 / $316.23	Professional		$234.42	$234.42	$316.23
United Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $120.23 / $194.98	Professional		$79.43	$120.23	$194.98
Univera Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $138.04 / $138.04	Facility		$138.04	$138.04	$138.04
Univera Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $151.36 / $245.47	Professional		$138.04	$151.36	$245.47