Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $108.60 / $137.93 / $139.31	Facility		$108.60	$137.93	$139.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $137.93 / $137.93 / $143.44	Professional		$137.93	$137.93	$143.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $133.83 / $137.93 / $151.56	Professional		$133.83	$137.93	$151.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $128.08 / $130.12 / $137.93	Facility		$128.08	$130.12	$137.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $137.93 / $137.93 / $137.93	Professional		$137.93	$137.93	$137.93
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $137.93 / $195.18 / $332.00	Facility		$137.93	$195.18	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $136.63 / $137.93 / $258.29	Professional		$136.63	$137.93	$258.29
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $137.93 / $137.93 / $143.13	Facility		$137.93	$137.93	$143.13
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $137.93 / $143.13 / $143.13	Professional		$137.93	$143.13	$143.13
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $128.08 / $130.12 / $597.00	Facility		$128.08	$130.12	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $137.93 / $137.93 / $165.74	Professional		$137.93	$137.93	$165.74
United Facility/Professional Professional Modifier Low / Median / High Price $137.93 / $137.93 / $211.64	Professional		$137.93	$137.93	$211.64
Univera Facility/Professional Facility Modifier Low / Median / High Price $143.13 / $143.13 / $143.13	Facility		$143.13	$143.13	$143.13
Univera Facility/Professional Professional Modifier Low / Median / High Price $137.93 / $143.13 / $143.13	Professional		$137.93	$143.13	$143.13