Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $97.72 / $138.04	Facility		$97.72	$97.72	$138.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $97.72 / $131.83	Professional		$97.72	$97.72	$131.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $97.72 / $323.59	Professional		$97.72	$97.72	$323.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $93.33 / $239.88	Facility		$93.33	$93.33	$239.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $97.72 / $112.20	Professional		$97.72	$97.72	$112.20
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $239.88 / $501.19	Facility		$151.36	$239.88	$501.19
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $239.88 / $239.88	Professional		$151.36	$239.88	$239.88
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $97.72 / $102.33	Facility		$97.72	$97.72	$102.33
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $102.33 / $102.33	Professional		$97.72	$102.33	$102.33
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $50,118.72 / $53,703.18	Facility		$128.82	$50,118.72	$53,703.18
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $109.65 / $109.65	Professional		$109.65	$109.65	$109.65
United Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $125.89 / $251.19	Professional		$107.15	$125.89	$251.19
Univera Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $97.72 / $107.15	Facility		$97.72	$97.72	$107.15
Univera Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $102.33 / $102.33	Professional		$97.72	$102.33	$102.33