Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $161.62 / $161.62 / $164.84	Facility		$161.62	$161.62	$164.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $161.62 / $161.62 / $168.09	Professional		$161.62	$161.62	$168.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $161.62 / $263.32 / $694.74	Professional		$161.62	$263.32	$694.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $152.47 / $152.47 / $379.65	Facility		$152.47	$152.47	$379.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $161.62 / $161.62 / $161.62	Professional		$161.62	$161.62	$161.62
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $161.62 / $228.72 / $343.08	Facility		$161.62	$228.72	$343.08
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $161.62 / $161.62 / $207.21	Professional		$161.62	$161.62	$207.21
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $161.62 / $161.62 / $167.72	Facility		$161.62	$161.62	$167.72
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $161.62 / $167.72 / $167.72	Professional		$161.62	$167.72	$167.72
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $152.47 / $161.62 / $597.00	Facility		$152.47	$161.62	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $161.62 / $161.62 / $175.35	Professional		$161.62	$161.62	$175.35
United Facility/Professional Professional Modifier Low / Median / High Price $161.62 / $161.62 / $247.99	Professional		$161.62	$161.62	$247.99
Univera Facility/Professional Facility Modifier Low / Median / High Price $167.72 / $167.72 / $167.72	Facility		$167.72	$167.72	$167.72
Univera Facility/Professional Professional Modifier Low / Median / High Price $161.62 / $167.72 / $167.72	Professional		$161.62	$167.72	$167.72