Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.59 / $70.22 / $77.97	Facility		$60.59	$70.22	$77.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.59 / $77.97 / $82.90	Professional		$64.59	$77.97	$82.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $403.54 / $504.43 / $1,127.50	Professional		$403.54	$504.43	$1,127.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $139.08 / $139.08 / $139.08	Facility		$139.08	$139.08	$139.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.53 / $101.53 / $139.08	Professional		$101.53	$101.53	$139.08
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $272.70 / $340.88 / $340.88	Professional		$272.70	$340.88	$340.88
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $340.88 / $340.88 / $340.88	Facility		$340.88	$340.88	$340.88
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $275.00 / $275.00 / $340.88	Professional		$275.00	$275.00	$340.88
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $139.08 / $139.08 / $555.00	Facility		$139.08	$139.08	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $101.53 / $101.53 / $142.86	Professional		$101.53	$101.53	$142.86
United Facility/Professional Professional Modifier Low / Median / High Price $58.33 / $87.50 / $148.53	Professional		$58.33	$87.50	$148.53
Univera Facility/Professional Facility Modifier Low / Median / High Price $100.64 / $275.00 / $275.00	Facility		$100.64	$275.00	$275.00
Univera Facility/Professional Professional Modifier Low / Median / High Price $275.00 / $275.00 / $340.88	Professional		$275.00	$275.00	$340.88