Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.57 / $58.60 / $58.60	Facility		$47.57	$58.60	$58.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.57 / $57.22 / $58.60	Professional		$47.57	$57.22	$58.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.15 / $65.48 / $135.56	Professional		$55.15	$65.48	$135.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $58.60 / $58.60 / $58.60	Facility		$58.60	$58.60	$58.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.60 / $58.60 / $58.60	Professional		$58.60	$58.60	$58.60
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $58.60 / $58.60 / $101.38	Facility		$58.60	$58.60	$101.38
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $49.81 / $58.60 / $58.60	Professional		$49.81	$58.60	$58.60
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $58.60 / $73.08 / $73.08	Facility		$58.60	$73.08	$73.08
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.60 / $58.60 / $73.08	Professional		$58.60	$58.60	$73.08
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $58.60 / $58.60 / $597.00	Facility		$58.60	$58.60	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $58.60 / $58.60 / $58.60	Professional		$58.60	$58.60	$58.60
United Facility/Professional Professional Modifier Low / Median / High Price $68.94 / $68.94 / $96.61	Professional		$68.94	$68.94	$96.61
Univera Facility/Professional Facility Modifier Low / Median / High Price $58.60 / $58.60 / $58.60	Facility		$58.60	$58.60	$58.60
Univera Facility/Professional Professional Modifier Low / Median / High Price $58.60 / $58.60 / $73.08	Professional		$58.60	$58.60	$73.08