Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $54.95 / $57.54	Facility		$46.77	$54.95	$57.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $57.54 / $63.10	Professional		$54.95	$57.54	$63.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $66.07 / $95.50	Professional		$63.10	$66.07	$95.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $109.65 / $50,118.72	Facility		$58.88	$109.65	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $58.88 / $58.88	Professional		$58.88	$58.88	$58.88
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $58.88 / $102.33	Facility		$58.88	$58.88	$102.33
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $58.88 / $61.66	Professional		$50.12	$58.88	$61.66
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $72.44 / $72.44	Facility		$58.88	$72.44	$72.44
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $58.88 / $72.44	Professional		$58.88	$58.88	$72.44
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $50,118.72 / $75,857.76	Facility		$125.89	$50,118.72	$75,857.76
United Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $69.18 / $91.20	Professional		$66.07	$69.18	$91.20
Univera Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $72.44 / $72.44	Facility		$58.88	$72.44	$72.44
Univera Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $58.88 / $72.44	Professional		$58.88	$58.88	$72.44