Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $506.83 / $624.36 / $624.36	Facility		$506.83	$624.36	$624.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $506.83 / $609.66 / $624.36	Professional		$506.83	$609.66	$624.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $304.81 / $381.01 / $381.01	Facility		$304.81	$381.01	$381.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $612.11 / $612.11 / $824.00	Professional		$612.11	$612.11	$824.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $624.36 / $840.48 / $840.48	Facility		$624.36	$840.48	$840.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $624.36 / $624.36 / $624.36	Professional		$624.36	$624.36	$624.36
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $624.36 / $624.36 / $1,011.46	Facility		$624.36	$624.36	$1,011.46
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $530.71 / $624.36 / $624.36	Professional		$530.71	$624.36	$624.36
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $624.36 / $648.84 / $648.84	Facility		$624.36	$648.84	$648.84
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $624.36 / $624.36 / $648.84	Professional		$624.36	$624.36	$648.84
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $840.48 / $840.48	Facility		$555.00	$840.48	$840.48
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $624.36 / $624.36 / $624.36	Professional		$624.36	$624.36	$624.36
United Facility/Professional Professional Modifier Low / Median / High Price $612.11 / $612.11 / $902.61	Professional		$612.11	$612.11	$902.61
Univera Facility/Professional Facility Modifier Low / Median / High Price $624.36 / $624.36 / $624.36	Facility		$624.36	$624.36	$624.36
Univera Facility/Professional Professional Modifier Low / Median / High Price $624.36 / $624.36 / $648.84	Professional		$624.36	$624.36	$648.84