Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $106.09 / $130.69 / $130.69	Facility		$106.09	$130.69	$130.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.09 / $126.08 / $130.69	Professional		$106.09	$126.08	$130.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $59.38 / $67.69 / $139.97	Professional		$59.38	$67.69	$139.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.56 / $60.56 / $130.69	Facility		$60.56	$60.56	$130.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $130.69 / $130.69 / $130.69	Professional		$130.69	$130.69	$130.69
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $130.69 / $130.69 / $211.72	Facility		$130.69	$130.69	$211.72
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $111.09 / $130.69 / $130.69	Professional		$111.09	$130.69	$130.69
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.29 / $6.29 / $130.69	Facility		$6.29	$6.29	$130.69
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.29 / $130.69 / $130.69	Professional		$6.29	$130.69	$130.69
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $60.56 / $130.69 / $597.00	Facility		$60.56	$130.69	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $130.69 / $130.69 / $130.69	Professional		$130.69	$130.69	$130.69
United Facility/Professional Professional Modifier Low / Median / High Price $128.13 / $128.13 / $183.76	Professional		$128.13	$128.13	$183.76
Univera Facility/Professional Facility Modifier Low / Median / High Price $130.69 / $130.69 / $130.69	Facility		$130.69	$130.69	$130.69
Univera Facility/Professional Professional Modifier Low / Median / High Price $6.29 / $130.69 / $130.69	Professional		$6.29	$130.69	$130.69