Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $112.20 / $138.04	Facility		$112.20	$112.20	$138.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $112.20 / $147.91	Professional		$112.20	$112.20	$147.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $112.20 / $588.84	Professional		$112.20	$112.20	$588.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $107.15 / $831.76	Facility		$107.15	$107.15	$831.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $112.20 / $131.83	Professional		$112.20	$112.20	$131.83
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $537.03 / $1,230.27	Facility		$151.36	$537.03	$1,230.27
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $707.95 / $831.76	Professional		$158.49	$707.95	$831.76
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $112.20 / $117.49	Facility		$112.20	$112.20	$117.49
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $117.49 / $117.49	Professional		$112.20	$117.49	$117.49
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $50,118.72 / $75,857.76	Facility		$165.96	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $141.25 / $141.25	Professional		$141.25	$141.25	$141.25
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $169.82 / $812.83	Professional		$125.89	$169.82	$812.83
Univera Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $112.20 / $123.03	Facility		$112.20	$112.20	$123.03
Univera Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $117.49 / $117.49	Professional		$112.20	$117.49	$117.49