Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.94 / $61.52 / $120.36	Facility		$49.94	$61.52	$120.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.94 / $60.08 / $61.52	Professional		$49.94	$60.08	$61.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.32 / $60.32 / $101.24	Professional		$60.32	$60.32	$101.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.52 / $85.00 / $107.41	Facility		$61.52	$85.00	$107.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.52 / $61.52 / $91.92	Professional		$61.52	$61.52	$91.92
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $60.31 / $114.61 / $332.00	Facility		$60.31	$114.61	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $60.31 / $60.31 / $123.51	Professional		$60.31	$60.31	$123.51
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $60.32 / $60.32 / $61.52	Facility		$60.32	$60.32	$61.52
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.32 / $61.52 / $61.52	Professional		$60.32	$61.52	$61.52
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $85.00 / $555.00	Facility		$85.00	$85.00	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $61.52 / $61.52 / $105.29	Professional		$61.52	$61.52	$105.29
United Facility/Professional Professional Modifier Low / Median / High Price $60.32 / $60.32 / $84.53	Professional		$60.32	$60.32	$84.53
Univera Facility/Professional Facility Modifier Low / Median / High Price $54.72 / $61.52 / $61.52	Facility		$54.72	$61.52	$61.52
Univera Facility/Professional Professional Modifier Low / Median / High Price $60.32 / $61.52 / $61.52	Professional		$60.32	$61.52	$61.52