Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.78 / $136.43 / $151.57	Facility		$117.78	$136.43	$151.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.57 / $151.57 / $161.15	Professional		$125.57	$151.57	$161.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $183.74 / $183.74 / $441.17	Professional		$183.74	$183.74	$441.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $210.68 / $210.68 / $210.68	Facility		$210.68	$210.68	$210.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $153.80 / $153.80 / $210.68	Professional		$153.80	$153.80	$210.68
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $293.62 / $367.03 / $367.03	Professional		$293.62	$367.03	$367.03
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $367.03 / $367.03 / $367.03	Facility		$367.03	$367.03	$367.03
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $199.36 / $211.82 / $367.03	Professional		$199.36	$211.82	$367.03
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $210.68 / $210.68 / $555.00	Facility		$210.68	$210.68	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $153.80 / $153.80 / $217.00	Professional		$153.80	$153.80	$217.00
United Facility/Professional Professional Modifier Low / Median / High Price $114.12 / $171.71 / $288.73	Professional		$114.12	$171.71	$288.73
Univera Facility/Professional Facility Modifier Low / Median / High Price $196.00 / $199.36 / $199.36	Facility		$196.00	$199.36	$199.36
Univera Facility/Professional Professional Modifier Low / Median / High Price $199.36 / $199.36 / $367.03	Professional		$199.36	$199.36	$367.03