Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $210.23 / $479.15 / $843.78	Facility		$210.23	$479.15	$843.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $159.72 / $198.14 / $256.14	Professional		$159.72	$198.14	$256.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.54 / $120.54 / $673.57	Professional		$120.54	$120.54	$673.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $195.88 / $423.10 / $1,052.23	Facility		$195.88	$423.10	$1,052.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $289.41 / $440.06 / $1,452.51	Professional		$289.41	$440.06	$1,452.51
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $254.49 / $332.00 / $678.04	Facility		$254.49	$332.00	$678.04
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $210.95 / $391.76 / $653.92	Professional		$210.95	$391.76	$653.92
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $256.14 / $301.35 / $546.44	Professional		$256.14	$301.35	$546.44
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $195.88 / $555.00 / $1,085.29	Facility		$195.88	$555.00	$1,085.29
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $195.88 / $328.47 / $693.11	Professional		$195.88	$328.47	$693.11
United Facility/Professional Professional Modifier Low / Median / High Price $126.57 / $180.81 / $456.72	Professional		$126.57	$180.81	$456.72
Univera Facility/Professional Facility Modifier Low / Median / High Price $301.35 / $346.55 / $346.55	Facility		$301.35	$346.55	$346.55
Univera Facility/Professional Professional Modifier Low / Median / High Price $256.14 / $301.35 / $362.20	Professional		$256.14	$301.35	$362.20