Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $197.65 / $241.13 / $434.83	Facility		$197.65	$241.13	$434.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $197.83 / $197.83 / $229.27	Professional		$197.83	$197.83	$229.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $158.26 / $158.26 / $197.83	Facility		$158.26	$158.26	$197.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $183.63 / $197.83 / $197.83	Professional		$183.63	$197.83	$197.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $186.63 / $186.63 / $197.83	Facility		$186.63	$186.63	$197.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $197.83 / $197.83 / $197.83	Professional		$197.83	$197.83	$197.83
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $189.86 / $250.00 / $419.92	Facility		$189.86	$250.00	$419.92
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $189.86 / $189.86 / $241.35	Professional		$189.86	$189.86	$241.35
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $197.83 / $197.83 / $201.56	Facility		$197.83	$197.83	$201.56
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $197.83 / $201.56 / $201.56	Professional		$197.83	$201.56	$201.56
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $186.63 / $194.08 / $555.00	Facility		$186.63	$194.08	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $197.83 / $197.83 / $231.33	Professional		$197.83	$197.83	$231.33
United Facility/Professional Professional Modifier Low / Median / High Price $193.87 / $207.72 / $265.08	Professional		$193.87	$207.72	$265.08
Univera Facility/Professional Facility Modifier Low / Median / High Price $201.56 / $201.56 / $201.56	Facility		$201.56	$201.56	$201.56
Univera Facility/Professional Professional Modifier Low / Median / High Price $197.83 / $201.56 / $201.56	Professional		$197.83	$201.56	$201.56