Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $217.09 / $273.52 / $477.60	Facility		$217.09	$273.52	$477.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $217.09 / $217.09 / $249.65	Professional		$217.09	$217.09	$249.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $173.67 / $173.67 / $217.09	Facility		$173.67	$173.67	$217.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $203.83 / $217.09 / $217.09	Professional		$203.83	$217.09	$217.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $204.80 / $204.80 / $217.09	Facility		$204.80	$204.80	$217.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $217.09 / $217.09 / $217.09	Professional		$217.09	$217.09	$217.09
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $209.70 / $266.24 / $460.80	Facility		$209.70	$266.24	$460.80
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $209.70 / $209.70 / $264.85	Professional		$209.70	$209.70	$264.85
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $217.09 / $217.09 / $221.18	Facility		$217.09	$217.09	$221.18
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $217.09 / $221.18 / $221.18	Professional		$217.09	$221.18	$221.18
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $204.80 / $214.76 / $555.00	Facility		$204.80	$214.76	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $217.09 / $217.09 / $251.88	Professional		$217.09	$217.09	$251.88
United Facility/Professional Professional Modifier Low / Median / High Price $217.09 / $227.94 / $290.89	Professional		$217.09	$227.94	$290.89
Univera Facility/Professional Facility Modifier Low / Median / High Price $221.18 / $221.18 / $221.18	Facility		$221.18	$221.18	$221.18
Univera Facility/Professional Professional Modifier Low / Median / High Price $217.09 / $221.18 / $221.18	Professional		$217.09	$221.18	$221.18