Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $102.33 / $204.17	Facility		$75.86	$102.33	$204.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $102.33	Professional		$75.86	$75.86	$102.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $75.86 / $79.43	Facility		$75.86	$75.86	$79.43
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Professional		$75.86	$75.86	$75.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $72.44 / $120.23	Facility		$72.44	$72.44	$120.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $338.84	Professional		$75.86	$75.86	$338.84
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $87.10 / $257.04	Facility		$72.44	$87.10	$257.04
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $72.44 / $100.00	Professional		$72.44	$72.44	$100.00
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $79.43 / $83.18	Facility		$79.43	$79.43	$83.18
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $79.43 / $81.28	Professional		$79.43	$79.43	$81.28
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $50,118.72 / $75,857.76	Facility		$100.00	$50,118.72	$75,857.76
United Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $109.65	Professional		$75.86	$75.86	$109.65
Univera Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $79.43 / $91.20	Facility		$79.43	$79.43	$91.20
Univera Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $81.28 / $95.50	Professional		$79.43	$81.28	$95.50