Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $160.24 / $191.37 / $191.37	Facility		$160.24	$191.37	$191.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $160.24 / $176.43 / $223.28	Professional		$160.24	$176.43	$223.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.00 / $60.00 / $64.00	Facility		$15.00	$60.00	$64.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.96 / $58.27 / $161.71	Professional		$45.96	$58.27	$161.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.05 / $45.05 / $45.05	Professional		$45.05	$45.05	$45.05
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $206.17 / $206.17 / $206.17	Facility		$206.17	$206.17	$206.17
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $206.17 / $206.17 / $206.17	Professional		$206.17	$206.17	$206.17
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $555.00 / $597.00	Facility		$555.00	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $45.05 / $45.05 / $45.05	Professional		$45.05	$45.05	$45.05
Optum Facility/Professional Professional Modifier Low / Median / High Price $161.71 / $161.71 / $181.11	Professional		$161.71	$161.71	$181.11
United Facility/Professional Professional Modifier Low / Median / High Price $161.71 / $161.71 / $181.11	Professional		$161.71	$161.71	$181.11