Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.83 / $553.94 / $559.47	Facility		$194.83	$553.94	$559.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $553.94 / $553.94 / $576.09	Professional		$553.94	$553.94	$576.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $553.94 / $553.94 / $856.66	Professional		$553.94	$553.94	$856.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $293.07 / $522.58 / $1,062.50	Facility		$293.07	$522.58	$1,062.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $553.94 / $553.94 / $553.94	Professional		$553.94	$553.94	$553.94
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $581.64 / $1,175.81	Facility		$319.00	$581.64	$1,175.81
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $548.71 / $553.94 / $956.32	Professional		$548.71	$553.94	$956.32
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $553.94 / $553.94 / $574.84	Facility		$553.94	$553.94	$574.84
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $553.94 / $574.84 / $574.84	Professional		$553.94	$574.84	$574.84
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $293.07 / $522.58 / $1,062.50	Facility		$293.07	$522.58	$1,062.50
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $553.94 / $553.94 / $600.97	Professional		$553.94	$553.94	$600.97
United Facility/Professional Professional Modifier Low / Median / High Price $553.94 / $553.94 / $849.97	Professional		$553.94	$553.94	$849.97
Univera Facility/Professional Facility Modifier Low / Median / High Price $574.84 / $574.84 / $574.84	Facility		$574.84	$574.84	$574.84
Univera Facility/Professional Professional Modifier Low / Median / High Price $553.94 / $574.84 / $574.84	Professional		$553.94	$574.84	$574.84