Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.37 / $143.04 / $214.56	Facility		$123.37	$143.04	$214.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.37 / $143.04 / $151.97	Professional		$123.37	$143.04	$151.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $96.44 / $149.00 / $185.04	Professional		$96.44	$149.00	$185.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $87.20 / $89.82 / $151.97	Facility		$87.20	$89.82	$151.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.97 / $151.97 / $151.97	Professional		$151.97	$151.97	$151.97
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $151.97 / $151.97 / $246.21	Facility		$151.97	$151.97	$246.21
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $151.97 / $151.97 / $174.78	Professional		$151.97	$151.97	$174.78
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $151.97 / $157.94 / $157.94	Facility		$151.97	$157.94	$157.94
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $151.97 / $157.94 / $157.94	Professional		$151.97	$157.94	$157.94
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $89.82 / $89.82 / $597.00	Facility		$89.82	$89.82	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $151.97 / $151.97 / $227.08	Professional		$151.97	$151.97	$227.08
Univera Facility/Professional Facility Modifier Low / Median / High Price $151.97 / $151.97 / $151.97	Facility		$151.97	$151.97	$151.97
Univera Facility/Professional Professional Modifier Low / Median / High Price $58.14 / $151.97 / $157.94	Professional		$58.14	$151.97	$157.94