Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $76.09 / $76.09 / $79.23	Facility		$76.09	$76.09	$79.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.09 / $76.09 / $79.13	Professional		$76.09	$76.09	$79.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $76.09 / $76.09 / $160.63	Professional		$76.09	$76.09	$160.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $71.78 / $76.09 / $285.18	Facility		$71.78	$76.09	$285.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.09 / $76.09 / $76.09	Professional		$76.09	$76.09	$76.09
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $76.09 / $107.67 / $332.00	Facility		$76.09	$107.67	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $75.37 / $76.09 / $135.66	Professional		$75.37	$76.09	$135.66
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $76.09 / $76.09 / $78.95	Facility		$76.09	$76.09	$78.95
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $76.09 / $78.95 / $78.95	Professional		$76.09	$78.95	$78.95
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $71.78 / $188.39 / $597.00	Facility		$71.78	$188.39	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $76.09 / $76.09 / $91.53	Professional		$76.09	$76.09	$91.53
United Facility/Professional Professional Modifier Low / Median / High Price $72.29 / $76.09 / $116.75	Professional		$72.29	$76.09	$116.75
Univera Facility/Professional Facility Modifier Low / Median / High Price $78.95 / $78.95 / $78.95	Facility		$78.95	$78.95	$78.95
Univera Facility/Professional Professional Modifier Low / Median / High Price $76.09 / $78.95 / $78.95	Professional		$76.09	$78.95	$78.95