Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $151.36 / $8,317.64	Facility		$77.62	$151.36	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $77.62 / $93.33	Professional		$77.62	$77.62	$93.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $77.62 / $81.28	Professional		$77.62	$77.62	$81.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $74.13 / $125.89	Facility		$74.13	$74.13	$125.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $77.62 / $89.13	Professional		$77.62	$77.62	$89.13
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $144.54 / $338.84	Facility		$77.62	$144.54	$338.84
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $81.28 / $316.23	Professional		$66.07	$81.28	$316.23
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $77.62 / $81.28	Facility		$77.62	$77.62	$81.28
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $81.28 / $81.28	Professional		$77.62	$81.28	$81.28
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $50,118.72 / $75,857.76	Facility		$109.65	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $91.20 / $91.20	Professional		$91.20	$91.20	$91.20
United Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $123.03 / $134.90	Professional		$77.62	$123.03	$134.90
Univera Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $77.62 / $87.10	Facility		$77.62	$77.62	$87.10
Univera Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $81.28 / $81.28	Professional		$77.62	$81.28	$81.28