Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.55 / $17.55 / $18.07	Facility		$17.55	$17.55	$18.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.33 / $18.10 / $143.93	Professional		$13.33	$18.10	$143.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.09 / $56.25 / $66.25	Professional		$41.09	$56.25	$66.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $140.55 / $140.55 / $140.55	Facility		$140.55	$140.55	$140.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.00 / $27.00 / $65.00	Professional		$19.00	$27.00	$65.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $130.03 / $130.03 / $130.03	Professional		$130.03	$130.03	$130.03
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $102.19 / $122.60 / $122.60	Facility		$102.19	$122.60	$122.60
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.19 / $120.07 / $260.43	Professional		$102.19	$120.07	$260.43
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $140.55 / $140.55 / $555.00	Facility		$140.55	$140.55	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $24.00 / $40.49 / $48.59	Professional		$24.00	$40.49	$48.59
Optum Facility/Professional Professional Modifier Low / Median / High Price $23.82 / $26.32 / $32.54	Professional		$23.82	$26.32	$32.54
United Facility/Professional Professional Modifier Low / Median / High Price $23.82 / $135.00 / $314.83	Professional		$23.82	$135.00	$314.83
Univera Facility/Professional Facility Modifier Low / Median / High Price $102.19 / $120.07 / $120.07	Facility		$102.19	$120.07	$120.07
Univera Facility/Professional Professional Modifier Low / Median / High Price $102.19 / $120.07 / $252.96	Professional		$102.19	$120.07	$252.96