Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.41 / $66.83 / $102.82	Facility		$51.41	$66.83	$102.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.21 / $78.92 / $99.43	Professional		$62.21	$78.92	$99.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $63.14 / $63.14 / $78.92	Facility		$63.14	$63.14	$78.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $78.31 / $78.92 / $78.92	Professional		$78.31	$78.92	$78.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74.45 / $74.45 / $78.92	Facility		$74.45	$74.45	$78.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.92 / $78.92 / $78.92	Professional		$78.92	$78.92	$78.92
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $74.45 / $111.68 / $332.00	Facility		$74.45	$111.68	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $78.92 / $78.92 / $129.32	Professional		$78.92	$78.92	$129.32
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $78.92 / $78.92 / $78.92	Facility		$78.92	$78.92	$78.92
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $78.92 / $78.92 / $78.92	Professional		$78.92	$78.92	$78.92
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $74.45 / $74.45 / $597.00	Facility		$74.45	$74.45	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $69.84 / $78.92 / $86.71	Professional		$69.84	$78.92	$86.71
United Facility/Professional Professional Modifier Low / Median / High Price $78.92 / $83.66 / $121.95	Professional		$78.92	$83.66	$121.95
Univera Facility/Professional Facility Modifier Low / Median / High Price $78.92 / $78.92 / $78.92	Facility		$78.92	$78.92	$78.92
Univera Facility/Professional Professional Modifier Low / Median / High Price $78.92 / $78.92 / $78.92	Professional		$78.92	$78.92	$78.92