Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,508.00 / $4,072.00 / $10,170.00	Facility		$1,508.00	$4,072.00	$10,170.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.72 / $82.74 / $99.92	Professional		$57.72	$82.74	$99.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.89 / $33.06 / $50.33	Professional		$27.89	$33.06	$50.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.85 / $89.85 / $89.85	Facility		$89.85	$89.85	$89.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.80 / $375.77 / $375.77	Professional		$73.80	$375.77	$375.77
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $120.23 / $120.23	Professional		$120.23	$120.23	$120.23
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $76.75 / $107.82 / $189.20	Professional		$76.75	$107.82	$189.20
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $89.85 / $89.85 / $597.00	Facility		$89.85	$89.85	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $73.80 / $375.77 / $375.77	Professional		$73.80	$375.77	$375.77
United Facility/Professional Professional Modifier Low / Median / High Price $66.83 / $86.32 / $185.85	Professional		$66.83	$86.32	$185.85
Univera Facility/Professional Facility Modifier Low / Median / High Price $76.75 / $76.75 / $76.75	Facility		$76.75	$76.75	$76.75
Univera Facility/Professional Professional Modifier Low / Median / High Price $76.75 / $99.15 / $169.25	Professional		$76.75	$99.15	$169.25