Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.72 / $91.54 / $92.45	Facility		$67.72	$91.54	$92.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.54 / $91.54 / $95.20	Professional		$91.54	$91.54	$95.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.48 / $91.54 / $91.54	Professional		$63.48	$91.54	$91.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.89 / $86.36 / $136.00	Facility		$69.89	$86.36	$136.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.54 / $91.54 / $99.31	Professional		$91.54	$91.54	$99.31
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $91.54 / $129.54 / $332.00	Facility		$91.54	$129.54	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $90.68 / $91.54 / $151.13	Professional		$90.68	$91.54	$151.13
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $91.54 / $91.54 / $94.99	Facility		$91.54	$91.54	$94.99
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.54 / $94.99 / $94.99	Professional		$91.54	$94.99	$94.99
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $69.89 / $86.36 / $597.00	Facility		$69.89	$86.36	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $83.20 / $91.54 / $99.31	Professional		$83.20	$91.54	$99.31
United Facility/Professional Professional Modifier Low / Median / High Price $91.54 / $91.54 / $140.06	Professional		$91.54	$91.54	$140.06
Univera Facility/Professional Facility Modifier Low / Median / High Price $94.99 / $94.99 / $94.99	Facility		$94.99	$94.99	$94.99
Univera Facility/Professional Professional Modifier Low / Median / High Price $91.54 / $94.99 / $94.99	Professional		$91.54	$94.99	$94.99