Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.00 / $85.00 / $85.00	Facility		$69.00	$85.00	$85.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.00 / $83.00 / $85.00	Professional		$69.00	$83.00	$85.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.60 / $95.00 / $200.45	Professional		$83.60	$95.00	$200.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $85.00 / $90.18	Facility		$85.00	$85.00	$90.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $85.00 / $85.00	Professional		$85.00	$85.00	$85.00
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $85.00 / $147.05	Facility		$85.00	$85.00	$147.05
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $72.25 / $85.00 / $85.00	Professional		$72.25	$85.00	$85.00
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $85.00 / $85.00	Facility		$85.00	$85.00	$85.00
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $85.00 / $85.00	Professional		$85.00	$85.00	$85.00
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $90.18 / $597.00	Facility		$85.00	$90.18	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $85.00 / $85.00	Professional		$85.00	$85.00	$85.00
United Facility/Professional Professional Modifier Low / Median / High Price $160.91 / $160.91 / $246.21	Professional		$160.91	$160.91	$246.21
Univera Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $85.00 / $85.00	Facility		$85.00	$85.00	$85.00
Univera Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $85.00 / $85.00	Professional		$85.00	$85.00	$85.00