Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $42.07 / $75.86	Facility		$33.88	$42.07	$75.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $34.89 / $2,283.78	Professional		$33.88	$34.89	$2,283.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.10 / $27.10 / $33.88	Facility		$27.10	$27.10	$33.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $33.88 / $37.09	Professional		$33.88	$33.88	$37.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.96 / $31.96 / $38.92	Facility		$31.96	$31.96	$38.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $33.88 / $33.88	Professional		$33.88	$33.88	$33.88
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $50.82 / $332.00	Facility		$33.88	$50.82	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $33.88 / $42.38	Professional		$33.88	$33.88	$42.38
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $33.88 / $33.88	Facility		$33.88	$33.88	$33.88
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $33.88 / $33.88	Professional		$33.88	$33.88	$33.88
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $31.96 / $33.88 / $555.00	Facility		$31.96	$33.88	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $33.88 / $39.95	Professional		$33.88	$33.88	$39.95
United Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $33.88 / $45.73	Professional		$33.88	$33.88	$45.73
Univera Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $33.88 / $33.88	Facility		$33.88	$33.88	$33.88
Univera Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $33.88 / $33.88	Professional		$33.88	$33.88	$33.88