Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.78 / $85.96 / $85.96	Facility		$69.78	$85.96	$85.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.78 / $83.94 / $85.96	Professional		$69.78	$83.94	$85.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.90 / $96.07 / $198.34	Professional		$80.90	$96.07	$198.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.96 / $85.96 / $98.23	Facility		$85.96	$85.96	$98.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.96 / $85.96 / $116.68	Professional		$85.96	$85.96	$116.68
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $92.59 / $131.03 / $332.00	Facility		$92.59	$131.03	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $92.59 / $100.45 / $106.48	Professional		$92.59	$100.45	$106.48
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $85.96 / $85.96 / $85.96	Facility		$85.96	$85.96	$85.96
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.96 / $85.96 / $85.96	Professional		$85.96	$85.96	$85.96
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $85.96 / $98.23 / $597.00	Facility		$85.96	$98.23	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $85.96 / $85.96 / $169.27	Professional		$85.96	$85.96	$169.27
United Facility/Professional Professional Modifier Low / Median / High Price $136.47 / $136.47 / $201.24	Professional		$136.47	$136.47	$201.24
Univera Facility/Professional Facility Modifier Low / Median / High Price $85.96 / $85.96 / $94.00	Facility		$85.96	$85.96	$94.00
Univera Facility/Professional Professional Modifier Low / Median / High Price $85.96 / $85.96 / $85.96	Professional		$85.96	$85.96	$85.96