Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.00 / $173.00 / $173.00	Facility		$173.00	$173.00	$173.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.00 / $173.00 / $173.00	Professional		$173.00	$173.00	$173.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $203.52 / $203.52 / $478.27	Professional		$203.52	$203.52	$478.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $263.02 / $263.02 / $263.02	Facility		$263.02	$263.02	$263.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $192.01 / $192.01 / $263.02	Professional		$192.01	$192.01	$263.02
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $141.40 / $176.75 / $176.75	Professional		$141.40	$176.75	$176.75
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $176.75 / $176.75 / $176.75	Facility		$176.75	$176.75	$176.75
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.74 / $176.75 / $176.75	Professional		$52.74	$176.75	$176.75
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $263.02 / $263.02 / $555.00	Facility		$263.02	$263.02	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $192.01 / $192.01 / $263.02	Professional		$192.01	$192.01	$263.02
United Facility/Professional Professional Modifier Low / Median / High Price $614.21 / $614.21 / $614.21	Professional		$614.21	$614.21	$614.21
Univera Facility/Professional Facility Modifier Low / Median / High Price $53.27 / $53.27 / $767.98	Facility		$53.27	$53.27	$767.98
Univera Facility/Professional Professional Modifier Low / Median / High Price $53.27 / $53.27 / $176.75	Professional		$53.27	$53.27	$176.75