Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.80 / $123.80 / $126.06	Facility		$123.80	$123.80	$126.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.80 / $123.80 / $128.75	Professional		$123.80	$123.80	$128.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.80 / $225.72 / $541.22	Professional		$123.80	$225.72	$541.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $116.79 / $123.80 / $251.89	Facility		$116.79	$123.80	$251.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.80 / $123.80 / $134.31	Professional		$123.80	$123.80	$134.31
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $123.80 / $175.19 / $332.00	Facility		$123.80	$175.19	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $123.80 / $123.80 / $160.00	Professional		$123.80	$123.80	$160.00
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $123.80 / $123.80 / $128.47	Facility		$123.80	$123.80	$128.47
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.80 / $128.47 / $128.47	Professional		$123.80	$128.47	$128.47
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $116.79 / $229.50 / $597.00	Facility		$116.79	$229.50	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $123.80 / $123.80 / $138.69	Professional		$123.80	$123.80	$138.69
United Facility/Professional Professional Modifier Low / Median / High Price $123.80 / $123.80 / $189.41	Professional		$123.80	$123.80	$189.41
Univera Facility/Professional Facility Modifier Low / Median / High Price $128.47 / $128.47 / $128.47	Facility		$128.47	$128.47	$128.47
Univera Facility/Professional Professional Modifier Low / Median / High Price $123.80 / $128.47 / $128.47	Professional		$123.80	$128.47	$128.47