Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.04 / $80.04 / $80.84	Facility		$80.04	$80.04	$80.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.04 / $80.04 / $83.24	Professional		$80.04	$80.04	$83.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.04 / $447.64 / $1,218.56	Professional		$80.04	$447.64	$1,218.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.51 / $80.04 / $624.34	Facility		$75.51	$80.04	$624.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.04 / $80.04 / $80.04	Professional		$80.04	$80.04	$80.04
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $80.04 / $113.27 / $332.00	Facility		$80.04	$113.27	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $75.51 / $80.04 / $142.71	Professional		$75.51	$80.04	$142.71
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $80.04 / $80.04 / $83.06	Facility		$80.04	$80.04	$83.06
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.04 / $83.06 / $83.06	Professional		$80.04	$83.06	$83.06
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $75.51 / $262.41 / $624.34	Facility		$75.51	$262.41	$624.34
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $80.04 / $80.04 / $113.26	Professional		$80.04	$80.04	$113.26
United Facility/Professional Professional Modifier Low / Median / High Price $80.04 / $80.04 / $122.81	Professional		$80.04	$80.04	$122.81
Univera Facility/Professional Facility Modifier Low / Median / High Price $83.06 / $83.06 / $83.06	Facility		$83.06	$83.06	$83.06
Univera Facility/Professional Professional Modifier Low / Median / High Price $80.04 / $83.06 / $83.06	Professional		$80.04	$83.06	$83.06