Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.97 / $58.56 / $105.60	Facility		$47.97	$58.56	$105.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.97 / $47.97 / $52.77	Professional		$47.97	$47.97	$52.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.38 / $38.38 / $47.97	Facility		$38.38	$38.38	$47.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.97 / $47.97 / $48.49	Professional		$47.97	$47.97	$48.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.26 / $45.26 / $48.58	Facility		$45.26	$45.26	$48.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.97 / $47.97 / $47.97	Professional		$47.97	$47.97	$47.97
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $47.97 / $71.95 / $332.00	Facility		$47.97	$71.95	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $47.97 / $47.97 / $58.54	Professional		$47.97	$47.97	$58.54
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $47.97 / $47.97 / $49.78	Facility		$47.97	$47.97	$49.78
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.97 / $49.78 / $49.78	Professional		$47.97	$49.78	$49.78
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $45.26 / $47.97 / $555.00	Facility		$45.26	$47.97	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $47.97 / $47.97 / $55.00	Professional		$47.97	$47.97	$55.00
United Facility/Professional Professional Modifier Low / Median / High Price $47.97 / $47.97 / $64.20	Professional		$47.97	$47.97	$64.20
Univera Facility/Professional Facility Modifier Low / Median / High Price $49.78 / $49.78 / $49.78	Facility		$49.78	$49.78	$49.78
Univera Facility/Professional Professional Modifier Low / Median / High Price $47.97 / $49.78 / $49.78	Professional		$47.97	$49.78	$49.78