Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $872.08 / $915.68 / $950.57	Facility		$872.08	$915.68	$950.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $872.08 / $915.68 / $950.57	Professional		$872.08	$915.68	$950.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $654.05 / $872.08 / $1,081.83	Professional		$654.05	$872.08	$1,081.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $347.14 / $347.14 / $925.19	Facility		$347.14	$347.14	$925.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $872.08 / $872.08 / $891.08	Professional		$872.08	$872.08	$891.08
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $208.38 / $333.41 / $1,851.12	Facility		$208.38	$333.41	$1,851.12
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $872.08 / $946.12 / $987.26	Professional		$872.08	$946.12	$987.26
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $328.98 / $328.98 / $328.98	Facility		$328.98	$328.98	$328.98
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $176.36 / $352.66 / $361.72	Professional		$176.36	$352.66	$361.72
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $347.14 / $555.00 / $925.19	Facility		$347.14	$555.00	$925.19
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $872.08 / $872.08 / $891.08	Professional		$872.08	$872.08	$891.08
United Facility/Professional Professional Modifier Low / Median / High Price $872.08 / $872.08 / $1,260.71	Professional		$872.08	$872.08	$1,260.71
Univera Facility/Professional Facility Modifier Low / Median / High Price $328.98 / $328.98 / $361.72	Facility		$328.98	$328.98	$361.72
Univera Facility/Professional Professional Modifier Low / Median / High Price $328.98 / $352.66 / $361.72	Professional		$328.98	$352.66	$361.72