Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $84.53 / $106.51 / $185.97	Facility		$84.53	$106.51	$185.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.57 / $84.57 / $101.49	Professional		$84.57	$84.57	$101.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $67.66 / $67.66 / $84.57	Facility		$67.66	$67.66	$84.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $84.57 / $84.57 / $107.61	Professional		$84.57	$84.57	$107.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $79.78 / $79.78 / $117.63	Facility		$79.78	$79.78	$117.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.57 / $84.57 / $84.57	Professional		$84.57	$84.57	$84.57
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $81.93 / $122.90 / $332.00	Facility		$81.93	$122.90	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $81.93 / $81.93 / $103.18	Professional		$81.93	$81.93	$103.18
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $84.57 / $84.57 / $87.76	Facility		$84.57	$84.57	$87.76
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $84.57 / $87.76 / $87.76	Professional		$84.57	$87.76	$87.76
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $79.78 / $84.57 / $555.00	Facility		$79.78	$84.57	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $84.57 / $84.57 / $119.68	Professional		$84.57	$84.57	$119.68
United Facility/Professional Professional Modifier Low / Median / High Price $84.57 / $88.63 / $113.32	Professional		$84.57	$88.63	$113.32
Univera Facility/Professional Facility Modifier Low / Median / High Price $87.76 / $87.76 / $87.76	Facility		$87.76	$87.76	$87.76
Univera Facility/Professional Professional Modifier Low / Median / High Price $84.57 / $87.76 / $87.76	Professional		$84.57	$87.76	$87.76