Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $216.74 / $273.08 / $448.65	Facility		$216.74	$273.08	$448.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $216.90 / $216.90 / $249.25	Professional		$216.90	$216.90	$249.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $173.52 / $173.52 / $216.90	Facility		$173.52	$173.52	$216.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $196.45 / $216.90 / $216.90	Professional		$196.45	$216.90	$216.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $204.63 / $204.63 / $216.90	Facility		$204.63	$204.63	$216.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $216.90 / $216.90 / $216.90	Professional		$216.90	$216.90	$216.90
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $216.90 / $266.02 / $460.42	Facility		$216.90	$266.02	$460.42
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $216.90 / $216.90 / $264.63	Professional		$216.90	$216.90	$264.63
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $216.90 / $216.90 / $221.00	Facility		$216.90	$216.90	$221.00
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $216.90 / $221.00 / $221.00	Professional		$216.90	$221.00	$221.00
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $204.63 / $212.42 / $555.00	Facility		$204.63	$212.42	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $216.90 / $216.90 / $254.90	Professional		$216.90	$216.90	$254.90
United Facility/Professional Professional Modifier Low / Median / High Price $216.74 / $229.91 / $290.64	Professional		$216.74	$229.91	$290.64
Univera Facility/Professional Facility Modifier Low / Median / High Price $221.00 / $221.00 / $221.00	Facility		$221.00	$221.00	$221.00
Univera Facility/Professional Professional Modifier Low / Median / High Price $216.90 / $221.00 / $221.00	Professional		$216.90	$221.00	$221.00