Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $63.10 / $134.90	Facility		$47.86	$63.10	$134.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $47.86 / $66.07	Professional		$46.77	$47.86	$66.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $47.86 / $50.12	Facility		$47.86	$47.86	$50.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $47.86 / $47.86	Professional		$47.86	$47.86	$47.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $44.67 / $72.44	Facility		$44.67	$44.67	$72.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $47.86 / $53.70	Professional		$47.86	$47.86	$53.70
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $58.88 / $162.18	Facility		$44.67	$58.88	$162.18
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $47.86 / $60.26	Professional		$47.86	$47.86	$60.26
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $47.86 / $50.12	Facility		$47.86	$47.86	$50.12
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $50.12 / $50.12	Professional		$47.86	$50.12	$50.12
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $50,118.72 / $75,857.76	Facility		$61.66	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $52.48 / $52.48	Professional		$52.48	$52.48	$52.48
United Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $47.86 / $56.23	Professional		$47.86	$47.86	$56.23
Univera Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $47.86 / $56.23	Facility		$47.86	$47.86	$56.23
Univera Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $50.12 / $50.12	Professional		$47.86	$50.12	$50.12