Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.88 / $166.38 / $250.17	Professional		$98.88	$166.38	$250.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $359.19 / $431.03 / $478.92	Facility		$359.19	$431.03	$478.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $192.90 / $197.76 / $466.47	Professional		$192.90	$197.76	$466.47
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $185.54 / $199.51 / $199.51	Facility		$185.54	$199.51	$199.51
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $199.51 / $199.51 / $199.51	Professional		$199.51	$199.51	$199.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $351.88 / $351.88 / $351.88	Facility		$351.88	$351.88	$351.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.94 / $114.94 / $114.94	Professional		$114.94	$114.94	$114.94
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $251.43 / $313.69 / $519.63	Professional		$251.43	$313.69	$519.63
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $137.11 / $137.11 / $137.11	Facility		$137.11	$137.11	$137.11
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $137.11 / $151.50 / $239.46	Professional		$137.11	$151.50	$239.46
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $351.88 / $555.00 / $597.00	Facility		$351.88	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $114.94 / $114.94 / $414.29	Professional		$114.94	$114.94	$414.29
United Facility/Professional Professional Modifier Low / Median / High Price $79.64 / $119.47 / $205.39	Professional		$79.64	$119.47	$205.39
Univera Facility/Professional Professional Modifier Low / Median / High Price $137.11 / $152.96 / $245.54	Professional		$137.11	$152.96	$245.54