Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $191.92 / $191.92 / $191.92	Facility		$191.92	$191.92	$191.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $148.19 / $191.92 / $199.67	Professional		$148.19	$191.92	$199.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $153.54 / $153.54 / $191.92	Facility		$153.54	$153.54	$191.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $171.72 / $171.72 / $171.72	Professional		$171.72	$171.72	$171.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $188.55 / $188.55 / $188.55	Facility		$188.55	$188.55	$188.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $188.55 / $188.55 / $188.55	Professional		$188.55	$188.55	$188.55
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $181.06 / $250.00 / $407.39	Facility		$181.06	$250.00	$407.39
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $154.55 / $181.82 / $331.34	Professional		$154.55	$181.82	$331.34
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $176.77 / $176.77 / $176.77	Facility		$176.77	$176.77	$176.77
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $176.77 / $176.77 / $191.92	Professional		$176.77	$176.77	$191.92
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $188.55 / $555.00 / $74,999.25	Facility		$188.55	$555.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $184.14 / $188.55 / $214.89	Professional		$184.14	$188.55	$214.89
United Facility/Professional Professional Modifier Low / Median / High Price $168.35 / $202.02 / $258.32	Professional		$168.35	$202.02	$258.32
Univera Facility/Professional Facility Modifier Low / Median / High Price $176.77 / $176.77 / $176.77	Facility		$176.77	$176.77	$176.77
Univera Facility/Professional Professional Modifier Low / Median / High Price $176.77 / $176.77 / $191.92	Professional		$176.77	$176.77	$191.92