Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.26 / $67.27 / $2,164.64	Facility		$67.26	$67.27	$2,164.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.27 / $67.27 / $69.95	Professional		$67.27	$67.27	$69.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.27 / $67.27 / $192.71	Professional		$67.27	$67.27	$192.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $63.47 / $67.27 / $176.32	Facility		$63.47	$67.27	$176.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.27 / $67.27 / $72.98	Professional		$67.27	$67.27	$72.98
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $67.27 / $95.21 / $332.00	Facility		$67.27	$95.21	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $67.27 / $67.28 / $125.99	Professional		$67.27	$67.28	$125.99
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $67.27 / $67.27 / $69.81	Facility		$67.27	$67.27	$69.81
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.27 / $69.81 / $69.81	Professional		$67.27	$69.81	$69.81
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $63.47 / $166.19 / $597.00	Facility		$63.47	$166.19	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $67.27 / $67.27 / $79.33	Professional		$67.27	$67.27	$79.33
United Facility/Professional Professional Modifier Low / Median / High Price $67.27 / $67.27 / $100.91	Professional		$67.27	$67.27	$100.91
Univera Facility/Professional Facility Modifier Low / Median / High Price $69.81 / $69.81 / $69.81	Facility		$69.81	$69.81	$69.81
Univera Facility/Professional Professional Modifier Low / Median / High Price $67.27 / $69.81 / $69.81	Professional		$67.27	$69.81	$69.81