Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.87 / $74.06 / $137.01	Facility		$63.87	$74.06	$137.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.87 / $76.83 / $78.68	Professional		$63.87	$76.83	$78.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $80.23 / $112.84	Professional		$0.02	$80.23	$112.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $85.00 / $86.75	Facility		$85.00	$85.00	$86.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.84 / $145.04 / $164.78	Professional		$89.84	$145.04	$164.78
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $84.86 / $84.86 / $173.96	Facility		$84.86	$84.86	$173.96
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $78.68 / $83.31 / $143.97	Professional		$78.68	$83.31	$143.97
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $84.06 / $86.40 / $86.40	Professional		$84.06	$86.40	$86.40
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $85.00 / $555.00	Facility		$85.00	$85.00	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $89.84 / $145.04 / $164.78	Professional		$89.84	$145.04	$164.78
United Facility/Professional Professional Modifier Low / Median / High Price $92.57 / $92.57 / $126.82	Professional		$92.57	$92.57	$126.82
Univera Facility/Professional Professional Modifier Low / Median / High Price $84.06 / $84.06 / $86.40	Professional		$84.06	$84.06	$86.40