Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $82.41 / $89.75 / $90.64	Facility		$82.41	$89.75	$90.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.75 / $89.75 / $93.34	Professional		$89.75	$89.75	$93.34
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.79 / $89.75 / $89.75	Professional		$73.79	$89.75	$89.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $84.67 / $84.67 / $1,417.80	Facility		$84.67	$84.67	$1,417.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.75 / $89.75 / $89.75	Professional		$89.75	$89.75	$89.75
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $89.75 / $127.01 / $332.00	Facility		$89.75	$127.01	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $88.90 / $89.75 / $160.03	Professional		$88.90	$89.75	$160.03
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $89.75 / $89.75 / $93.13	Facility		$89.75	$89.75	$93.13
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.75 / $93.13 / $93.13	Professional		$89.75	$93.13	$93.13
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $84.67 / $555.00 / $1,417.80	Facility		$84.67	$555.00	$1,417.80
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $85.94 / $89.75 / $89.75	Professional		$85.94	$89.75	$89.75
United Facility/Professional Professional Modifier Low / Median / High Price $89.75 / $89.75 / $137.32	Professional		$89.75	$89.75	$137.32
Univera Facility/Professional Facility Modifier Low / Median / High Price $93.13 / $93.13 / $93.13	Facility		$93.13	$93.13	$93.13
Univera Facility/Professional Professional Modifier Low / Median / High Price $89.75 / $93.13 / $93.13	Professional		$89.75	$93.13	$93.13