Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.79 / $75.79 / $113.69	Facility		$75.79	$75.79	$113.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.37 / $80.53 / $80.53	Professional		$65.37	$80.53	$80.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.03 / $82.11 / $181.61	Professional		$0.03	$82.11	$181.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $80.53 / $83.69 / $88.79	Facility		$80.53	$83.69	$88.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.53 / $83.69 / $83.69	Professional		$80.53	$83.69	$83.69
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $83.69 / $118.43 / $332.00	Facility		$83.69	$118.43	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $71.06 / $85.27 / $100.42	Professional		$71.06	$85.27	$100.42
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.11 / $80.11 / $80.11	Professional		$80.11	$80.11	$80.11
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $80.53 / $86.20 / $555.00	Facility		$80.53	$86.20	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $80.53 / $83.69 / $83.69	Professional		$80.53	$83.69	$83.69
United Facility/Professional Professional Modifier Low / Median / High Price $37.90 / $94.74 / $104.21	Professional		$37.90	$94.74	$104.21
Univera Facility/Professional Professional Modifier Low / Median / High Price $80.11 / $80.11 / $80.11	Professional		$80.11	$80.11	$80.11