Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $323.59 / $524.81	Facility		$147.91	$323.59	$524.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $131.83 / $165.96	Professional		$93.33	$131.83	$165.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $302.00 / $446.68	Professional		$173.78	$302.00	$446.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $275.42 / $616.60	Facility		$112.20	$275.42	$616.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $831.76 / $831.76	Professional		$165.96	$831.76	$831.76
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $288.40 / $660.69	Facility		$173.78	$288.40	$660.69
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $104.71 / $338.84	Professional		$81.28	$104.71	$338.84
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $165.96 / $194.98	Professional		$107.15	$165.96	$194.98
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $323.59 / $50,118.72	Facility		$223.87	$323.59	$50,118.72
United Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $154.88 / $208.93	Facility		$104.71	$154.88	$208.93
United Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $104.71 / $257.04	Professional		$72.44	$104.71	$257.04
Univera Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $177.83 / $199.53	Facility		$147.91	$177.83	$199.53
Univera Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $165.96 / $199.53	Professional		$107.15	$165.96	$199.53