Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $316.23 / $398.11	Professional		$165.96	$316.23	$398.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $758.58 / $758.58	Facility		$562.34	$758.58	$758.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $302.00 / $691.83	Professional		$302.00	$302.00	$691.83
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $309.03 / $309.03	Facility		$288.40	$309.03	$309.03
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $309.03 / $309.03	Professional		$309.03	$309.03	$309.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $676.08 / $676.08	Facility		$676.08	$676.08	$676.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $446.68	Professional		$173.78	$173.78	$446.68
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $489.78 / $812.83	Professional		$380.19	$489.78	$812.83
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $213.80 / $213.80	Facility		$213.80	$213.80	$213.80
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $234.42 / $316.23	Professional		$213.80	$234.42	$316.23
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $363.08 / $489.78	Professional		$363.08	$363.08	$489.78
United Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $186.21 / $302.00	Professional		$123.03	$186.21	$302.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $213.80 / $213.80	Facility		$213.80	$213.80	$213.80
Univera Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $234.42 / $380.19	Professional		$213.80	$234.42	$380.19