Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.12 / $1,035.00 / $2,276.00	Facility		$100.12	$1,035.00	$2,276.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.95 / $99.42 / $131.54	Professional		$45.95	$99.42	$131.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $790.00 / $1,751.00 / $4,671.00	Facility		$790.00	$1,751.00	$4,671.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $65.17 / $80.94 / $134.04	Professional		$65.17	$80.94	$134.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $105.88 / $105.88 / $105.88	Facility		$105.88	$105.88	$105.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.08 / $78.08 / $78.08	Professional		$78.08	$78.08	$78.08
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,162.00 / $1,162.00 / $1,291.00	Facility		$1,162.00	$1,162.00	$1,291.00
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $87.18 / $87.18 / $87.18	Facility		$87.18	$87.18	$87.18
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $86.19 / $147.93 / $233.72	Professional		$86.19	$147.93	$233.72
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $105.88 / $105.88 / $597.00	Facility		$105.88	$105.88	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $78.08 / $78.08 / $78.08	Professional		$78.08	$78.08	$78.08
United Facility/Professional Professional Modifier Low / Median / High Price $84.98 / $121.59 / $264.54	Professional		$84.98	$121.59	$264.54
Univera Facility/Professional Facility Modifier Low / Median / High Price $91.26 / $91.26 / $91.26	Facility		$91.26	$91.26	$91.26
Univera Facility/Professional Professional Modifier Low / Median / High Price $91.26 / $132.83 / $220.19	Professional		$91.26	$132.83	$220.19