Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.00 / $52.00 / $65.14	Facility		$52.00	$52.00	$65.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.00 / $52.00 / $52.00	Professional		$52.00	$52.00	$52.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $61.00 / $61.00 / $122.00	Facility		$61.00	$61.00	$122.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $65.50 / $65.50 / $166.37	Professional		$65.50	$65.50	$166.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $71.06 / $71.06 / $71.06	Facility		$71.06	$71.06	$71.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.25 / $21.25 / $21.25	Professional		$21.25	$21.25	$21.25
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $61.00 / $111.63 / $332.00	Facility		$61.00	$111.63	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $61.00 / $82.35 / $132.37	Professional		$61.00	$82.35	$132.37
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.88 / $26.88 / $47.81	Facility		$26.88	$26.88	$47.81
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.88 / $47.81 / $47.81	Professional		$26.88	$47.81	$47.81
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $71.06 / $71.06 / $597.00	Facility		$71.06	$71.06	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $21.25 / $21.25 / $121.99	Professional		$21.25	$21.25	$121.99
United Facility/Professional Professional Modifier Low / Median / High Price $23.69 / $36.60 / $89.75	Professional		$23.69	$36.60	$89.75
Univera Facility/Professional Facility Modifier Low / Median / High Price $47.81 / $47.81 / $50.00	Facility		$47.81	$47.81	$50.00
Univera Facility/Professional Professional Modifier Low / Median / High Price $26.88 / $47.81 / $47.81	Professional		$26.88	$47.81	$47.81