Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $114.82 / $501.19	Professional		$85.11	$114.82	$501.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $61.66 / $239.88	Professional		$47.86	$61.66	$239.88
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $120.23 / $120.23	Facility		$112.20	$120.23	$120.23
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $120.23 / $120.23	Professional		$120.23	$120.23	$120.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $380.19 / $380.19	Facility		$380.19	$380.19	$380.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $58.88 / $165.96	Professional		$58.88	$58.88	$165.96
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $190.55 / $316.23	Professional		$144.54	$190.55	$316.23
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $91.20 / $91.20	Facility		$91.20	$91.20	$91.20
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $102.33 / $120.23	Professional		$91.20	$102.33	$120.23
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $138.04 / $141.25	Professional		$138.04	$138.04	$141.25
United Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $70.79 / $117.49	Professional		$47.86	$70.79	$117.49
Univera Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $91.20 / $91.20	Facility		$91.20	$91.20	$91.20
Univera Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $102.33 / $147.91	Professional		$91.20	$102.33	$147.91