Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $855.00 / $914.00 / $1,024.00	Facility		$855.00	$914.00	$1,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $183.73 / $217.39 / $217.39	Professional		$183.73	$217.39	$217.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.75 / $135.00 / $314.00	Professional		$114.75	$135.00	$314.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $215.00 / $857.00 / $1,033.00	Facility		$215.00	$857.00	$1,033.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $221.00 / $221.00 / $300.00	Professional		$221.00	$221.00	$300.00
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $375.00 / $999.64 / $1,584.55	Facility		$375.00	$999.64	$1,584.55
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $155.00 / $258.08 / $379.00	Professional		$155.00	$258.08	$379.00
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $227.15 / $227.15 / $227.15	Facility		$227.15	$227.15	$227.15
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $190.94 / $191.38 / $466.48	Professional		$190.94	$191.38	$466.48
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $215.00 / $728.22 / $1,033.00	Facility		$215.00	$728.22	$1,033.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $221.00 / $221.00 / $300.00	Professional		$221.00	$221.00	$300.00
United Facility/Professional Professional Modifier Low / Median / High Price $202.59 / $230.00 / $313.67	Professional		$202.59	$230.00	$313.67
Univera Facility/Professional Professional Modifier Low / Median / High Price $277.08 / $356.72 / $548.79	Professional		$277.08	$356.72	$548.79