Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $323.59 / $724.44	Facility		$251.19	$323.59	$724.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $302.00 / $363.08	Professional		$295.12	$302.00	$363.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $199.53 / $208.93	Facility		$199.53	$199.53	$208.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $295.12 / $295.12	Professional		$295.12	$295.12	$295.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $309.03 / $50,118.72	Facility		$275.42	$309.03	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $309.03 / $1,659.59	Professional		$309.03	$309.03	$1,659.59
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $316.23 / $691.83	Facility		$194.98	$316.23	$691.83
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $316.23 / $371.54	Professional		$234.42	$316.23	$371.54
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $295.12 / $316.23	Facility		$295.12	$295.12	$316.23
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $295.12 / $316.23	Professional		$295.12	$295.12	$316.23
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $50,118.72 / $75,857.76	Facility		$660.69	$50,118.72	$75,857.76
United Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $199.53 / $199.53	Facility		$199.53	$199.53	$199.53
United Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $295.12 / $467.74	Professional		$295.12	$295.12	$467.74
Univera Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $295.12 / $354.81	Facility		$295.12	$295.12	$354.81
Univera Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $295.12 / $354.81	Professional		$204.17	$295.12	$354.81