Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $122.80 / $151.27 / $5,040.00	Facility		$122.80	$151.27	$5,040.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $122.80 / $147.72 / $151.27	Professional		$122.80	$147.72	$151.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.79 / $23.73 / $142.38	Professional		$17.79	$23.73	$142.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $151.27 / $151.27 / $151.27	Facility		$151.27	$151.27	$151.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.27 / $151.27 / $151.27	Professional		$151.27	$151.27	$151.27
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $151.27 / $151.27 / $245.06	Facility		$151.27	$151.27	$245.06
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $128.58 / $151.27 / $151.27	Professional		$128.58	$151.27	$151.27
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $151.28 / $171.50 / $171.50	Facility		$151.28	$171.50	$171.50
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $151.28 / $151.28 / $171.50	Professional		$151.28	$151.28	$171.50
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $151.27 / $151.27 / $597.00	Facility		$151.27	$151.27	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $151.27 / $151.27 / $151.27	Professional		$151.27	$151.27	$151.27
United Facility/Professional Professional Modifier Low / Median / High Price $161.79 / $161.79 / $238.57	Professional		$161.79	$161.79	$238.57
Univera Facility/Professional Facility Modifier Low / Median / High Price $151.28 / $151.28 / $151.28	Facility		$151.28	$151.28	$151.28
Univera Facility/Professional Professional Modifier Low / Median / High Price $151.28 / $151.28 / $171.50	Professional		$151.28	$151.28	$171.50