Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $144.60 / $178.13 / $178.13	Facility		$144.60	$178.13	$178.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.60 / $173.93 / $178.13	Professional		$144.60	$173.93	$178.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $167.65 / $199.08 / $420.06	Professional		$167.65	$199.08	$420.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $178.13 / $178.13 / $188.98	Facility		$178.13	$178.13	$188.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $178.13 / $178.13 / $178.13	Professional		$178.13	$178.13	$178.13
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $188.60 / $188.60 / $305.52	Facility		$188.60	$188.60	$305.52
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $178.13 / $178.13 / $178.13	Professional		$178.13	$178.13	$178.13
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $163.51 / $163.51 / $163.51	Facility		$163.51	$163.51	$163.51
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $163.51 / $163.51 / $163.51	Professional		$163.51	$163.51	$163.51
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $178.13 / $188.98 / $597.00	Facility		$178.13	$188.98	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $178.13 / $178.13 / $178.13	Professional		$178.13	$178.13	$178.13
United Facility/Professional Professional Modifier Low / Median / High Price $202.90 / $202.90 / $304.35	Professional		$202.90	$202.90	$304.35
Univera Facility/Professional Facility Modifier Low / Median / High Price $163.51 / $163.51 / $163.51	Facility		$163.51	$163.51	$163.51
Univera Facility/Professional Professional Modifier Low / Median / High Price $163.51 / $163.51 / $163.51	Professional		$163.51	$163.51	$163.51