Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $189.75 / $231.50 / $379.50	Facility		$189.75	$231.50	$379.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $193.76 / $193.76 / $229.60	Professional		$193.76	$193.76	$229.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $155.01 / $155.01 / $193.76	Facility		$155.01	$155.01	$193.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $175.78 / $193.76 / $193.76	Professional		$175.78	$193.76	$193.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $182.79 / $182.79 / $193.76	Facility		$182.79	$182.79	$193.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $193.76 / $193.76 / $193.76	Professional		$193.76	$193.76	$193.76
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $182.79 / $250.00 / $411.28	Facility		$182.79	$250.00	$411.28
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $184.69 / $184.69 / $250.42	Professional		$184.69	$184.69	$250.42
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $193.76 / $193.76 / $201.07	Facility		$193.76	$193.76	$201.07
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $193.76 / $193.76 / $201.07	Professional		$193.76	$193.76	$201.07
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $182.79 / $182.79 / $597.00	Facility		$182.79	$182.79	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $191.60 / $193.76 / $259.75	Professional		$191.60	$193.76	$259.75
United Facility/Professional Professional Modifier Low / Median / High Price $193.76 / $193.76 / $271.52	Professional		$193.76	$193.76	$271.52
Univera Facility/Professional Facility Modifier Low / Median / High Price $201.07 / $201.07 / $201.07	Facility		$201.07	$201.07	$201.07
Univera Facility/Professional Professional Modifier Low / Median / High Price $193.76 / $193.76 / $201.07	Professional		$193.76	$193.76	$201.07