Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $103.50 / $127.50 / $127.50	Facility		$103.50	$127.50	$127.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.50 / $124.50 / $127.50	Professional		$103.50	$124.50	$127.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $127.50 / $142.50 / $294.98	Professional		$127.50	$142.50	$294.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $127.50 / $127.50 / $127.50	Facility		$127.50	$127.50	$127.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.50 / $127.50 / $127.50	Professional		$127.50	$127.50	$127.50
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $127.50 / $127.50 / $206.55	Facility		$127.50	$127.50	$206.55
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $108.38 / $127.50 / $127.50	Professional		$108.38	$127.50	$127.50
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $127.50 / $127.50 / $127.50	Facility		$127.50	$127.50	$127.50
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $127.50 / $127.50 / $127.50	Professional		$127.50	$127.50	$127.50
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $127.50 / $127.50 / $597.00	Facility		$127.50	$127.50	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $127.50 / $127.50 / $127.50	Professional		$127.50	$127.50	$127.50
United Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $150.00 / $225.00	Professional		$150.00	$150.00	$225.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $127.50 / $127.50 / $127.50	Facility		$127.50	$127.50	$127.50
Univera Facility/Professional Professional Modifier Low / Median / High Price $127.50 / $127.50 / $127.50	Professional		$127.50	$127.50	$127.50