Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.32 / $68.56 / $116.03	Facility		$46.32	$68.56	$116.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.32 / $46.32 / $63.82	Professional		$46.32	$46.32	$63.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $37.06 / $37.06 / $46.32	Facility		$37.06	$37.06	$46.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.32 / $46.32 / $64.48	Professional		$46.32	$46.32	$64.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.70 / $43.70 / $90.83	Facility		$43.70	$43.70	$90.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.32 / $46.32 / $46.32	Professional		$46.32	$46.32	$46.32
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $46.32 / $69.48 / $332.00	Facility		$46.32	$69.48	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $46.32 / $46.32 / $61.18	Professional		$46.32	$46.32	$61.18
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $46.32 / $46.32 / $46.32	Facility		$46.32	$46.32	$46.32
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.32 / $46.32 / $46.32	Professional		$46.32	$46.32	$46.32
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $43.70 / $46.32 / $555.00	Facility		$43.70	$46.32	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $46.32 / $46.32 / $56.81	Professional		$46.32	$46.32	$56.81
United Facility/Professional Professional Modifier Low / Median / High Price $45.39 / $48.64 / $71.06	Professional		$45.39	$48.64	$71.06
Univera Facility/Professional Facility Modifier Low / Median / High Price $46.32 / $46.32 / $46.32	Facility		$46.32	$46.32	$46.32
Univera Facility/Professional Professional Modifier Low / Median / High Price $46.32 / $46.32 / $46.32	Professional		$46.32	$46.32	$46.32