Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.75 / $106.97 / $108.04	Facility		$64.75	$106.97	$108.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.97 / $106.97 / $111.25	Professional		$106.97	$106.97	$111.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.80 / $106.97 / $224.61	Professional		$95.80	$106.97	$224.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.24 / $100.91 / $100.91	Facility		$95.24	$100.91	$100.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.97 / $106.97 / $106.97	Professional		$106.97	$106.97	$106.97
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $106.97 / $151.37 / $332.00	Facility		$106.97	$151.37	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $106.97 / $106.97 / $123.00	Professional		$106.97	$106.97	$123.00
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $106.97 / $106.97 / $111.00	Facility		$106.97	$106.97	$111.00
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $106.97 / $111.00 / $111.00	Professional		$106.97	$111.00	$111.00
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $95.24 / $100.91 / $597.00	Facility		$95.24	$100.91	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $106.97 / $106.97 / $106.97	Professional		$106.97	$106.97	$106.97
United Facility/Professional Professional Modifier Low / Median / High Price $106.97 / $106.97 / $164.13	Professional		$106.97	$106.97	$164.13
Univera Facility/Professional Facility Modifier Low / Median / High Price $111.00 / $111.00 / $111.00	Facility		$111.00	$111.00	$111.00
Univera Facility/Professional Professional Modifier Low / Median / High Price $106.97 / $111.00 / $111.00	Professional		$106.97	$111.00	$111.00