Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $257.04 / $549.54	Facility		$194.98	$257.04	$549.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $288.40	Professional		$194.98	$194.98	$288.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $194.98 / $204.17	Facility		$194.98	$194.98	$204.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $194.98	Professional		$194.98	$194.98	$194.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $186.21 / $281.84	Facility		$186.21	$186.21	$281.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $213.80	Professional		$194.98	$194.98	$213.80
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $239.88 / $676.08	Facility		$186.21	$239.88	$676.08
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $190.55 / $245.47	Professional		$190.55	$190.55	$245.47
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $190.55 / $190.55	Facility		$190.55	$190.55	$190.55
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $190.55 / $190.55	Professional		$190.55	$190.55	$190.55
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $50,118.72 / $75,857.76	Facility		$239.88	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $204.17 / $204.17	Professional		$204.17	$204.17	$204.17
United Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $194.98 / $194.98	Facility		$194.98	$194.98	$194.98
United Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $194.98 / $234.42	Professional		$186.21	$194.98	$234.42
Univera Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $190.55 / $218.78	Facility		$190.55	$190.55	$218.78
Univera Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $190.55 / $190.55	Professional		$190.55	$190.55	$190.55