Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.70 / $70.70 / $71.40	Facility		$70.70	$70.70	$71.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.70 / $70.70 / $73.52	Professional		$70.70	$70.70	$73.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.70 / $70.70 / $168.25	Professional		$70.70	$70.70	$168.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.69 / $66.69 / $255.00	Facility		$66.69	$66.69	$255.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.70 / $70.70 / $70.70	Professional		$70.70	$70.70	$70.70
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $70.70 / $100.04 / $332.00	Facility		$70.70	$100.04	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $70.02 / $70.70 / $126.04	Professional		$70.02	$70.70	$126.04
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $70.70 / $70.70 / $73.36	Facility		$70.70	$70.70	$73.36
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.70 / $73.36 / $73.36	Professional		$70.70	$73.36	$73.36
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $66.69 / $255.00 / $597.00	Facility		$66.69	$255.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $70.70 / $70.70 / $83.37	Professional		$70.70	$70.70	$83.37
United Facility/Professional Professional Modifier Low / Median / High Price $70.70 / $70.70 / $110.34	Professional		$70.70	$70.70	$110.34
Univera Facility/Professional Facility Modifier Low / Median / High Price $73.36 / $73.36 / $73.36	Facility		$73.36	$73.36	$73.36
Univera Facility/Professional Professional Modifier Low / Median / High Price $70.70 / $73.36 / $73.36	Professional		$70.70	$73.36	$73.36