Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.48 / $87.98 / $88.86	Facility		$80.48	$87.98	$88.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.98 / $87.98 / $91.50	Professional		$87.98	$87.98	$91.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.98 / $87.98 / $165.15	Professional		$87.98	$87.98	$165.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $83.00 / $83.00 / $149.77	Facility		$83.00	$83.00	$149.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.98 / $87.98 / $87.98	Professional		$87.98	$87.98	$87.98
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $87.98 / $124.50 / $332.00	Facility		$87.98	$124.50	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $87.15 / $87.98 / $151.88	Professional		$87.15	$87.98	$151.88
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $87.98 / $87.98 / $91.30	Facility		$87.98	$87.98	$91.30
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.98 / $91.30 / $91.30	Professional		$87.98	$91.30	$91.30
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $83.00 / $149.77 / $597.00	Facility		$83.00	$149.77	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $87.98 / $87.98 / $103.75	Professional		$87.98	$87.98	$103.75
United Facility/Professional Professional Modifier Low / Median / High Price $87.98 / $87.98 / $131.97	Professional		$87.98	$87.98	$131.97
Univera Facility/Professional Facility Modifier Low / Median / High Price $91.30 / $91.30 / $91.30	Facility		$91.30	$91.30	$91.30
Univera Facility/Professional Professional Modifier Low / Median / High Price $87.98 / $91.30 / $91.30	Professional		$87.98	$91.30	$91.30