Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $133.94 / $610.55 / $1,056.00	Facility		$133.94	$610.55	$1,056.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.76 / $115.20 / $163.19	Professional		$101.76	$115.20	$163.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.47 / $33.47 / $230.40	Professional		$33.47	$33.47	$230.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $124.80 / $460.80 / $1,341.03	Facility		$124.80	$460.80	$1,341.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $368.59 / $560.17 / $1,850.88	Professional		$368.59	$560.17	$1,850.88
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $499.20 / $864.00	Facility		$319.00	$499.20	$864.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $268.80 / $499.20 / $833.28	Professional		$268.80	$499.20	$833.28
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $219.06 / $364.80 / $696.30	Professional		$219.06	$364.80	$696.30
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $124.80 / $597.00 / $1,382.23	Facility		$124.80	$597.00	$1,382.23
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $124.80 / $305.54 / $680.29	Professional		$124.80	$305.54	$680.29
United Facility/Professional Professional Modifier Low / Median / High Price $80.64 / $115.20 / $301.41	Professional		$80.64	$115.20	$301.41
Univera Facility/Professional Facility Modifier Low / Median / High Price $192.00 / $441.59 / $441.59	Facility		$192.00	$441.59	$441.59
Univera Facility/Professional Professional Modifier Low / Median / High Price $200.74 / $384.00 / $461.54	Professional		$200.74	$384.00	$461.54