Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $166.98 / $205.70 / $205.70	Facility		$166.98	$205.70	$205.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $166.98 / $200.86 / $205.70	Professional		$166.98	$200.86	$205.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.86 / $38.49 / $193.60	Professional		$28.86	$38.49	$193.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $205.70 / $215.05 / $215.05	Facility		$205.70	$215.05	$215.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $205.70 / $205.70 / $205.70	Professional		$205.70	$205.70	$205.70
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $205.70 / $205.70 / $333.23	Facility		$205.70	$205.70	$333.23
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $174.85 / $205.70 / $205.70	Professional		$174.85	$205.70	$205.70
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $205.70 / $233.20 / $233.20	Facility		$205.70	$233.20	$233.20
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $205.70 / $205.70 / $233.20	Professional		$205.70	$205.70	$233.20
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $215.05 / $215.05 / $597.00	Facility		$215.05	$215.05	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $205.70 / $205.70 / $205.70	Professional		$205.70	$205.70	$205.70
United Facility/Professional Professional Modifier Low / Median / High Price $220.00 / $220.00 / $324.41	Professional		$220.00	$220.00	$324.41
Univera Facility/Professional Facility Modifier Low / Median / High Price $205.70 / $205.70 / $205.70	Facility		$205.70	$205.70	$205.70
Univera Facility/Professional Professional Modifier Low / Median / High Price $205.70 / $205.70 / $233.20	Professional		$205.70	$205.70	$233.20