Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.85 / $136.43 / $27,833.31	Facility		$114.85	$136.43	$27,833.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.49 / $136.43 / $183.55	Professional		$99.49	$136.43	$183.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.06 / $20.00 / $23.54	Professional		$7.06	$20.00	$23.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $200.58 / $200.58 / $200.58	Facility		$200.58	$200.58	$200.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $147.91 / $147.91	Professional		$147.91	$147.91	$147.91
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $199.34 / $199.34 / $322.93	Facility		$199.34	$199.34	$322.93
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $169.44 / $199.34 / $199.34	Professional		$169.44	$199.34	$199.34
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $199.34 / $225.99 / $225.99	Facility		$199.34	$225.99	$225.99
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $199.34 / $199.34 / $225.99	Professional		$199.34	$199.34	$225.99
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $200.58 / $200.58 / $597.00	Facility		$200.58	$200.58	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $147.91 / $147.91	Professional		$147.91	$147.91	$147.91
United Facility/Professional Professional Modifier Low / Median / High Price $342.87 / $342.87 / $505.59	Professional		$342.87	$342.87	$505.59
Univera Facility/Professional Facility Modifier Low / Median / High Price $199.34 / $199.34 / $199.34	Facility		$199.34	$199.34	$199.34
Univera Facility/Professional Professional Modifier Low / Median / High Price $199.34 / $199.34 / $225.99	Professional		$199.34	$199.34	$225.99