Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $499.45 / $615.26 / $615.26	Facility		$499.45	$615.26	$615.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $499.45 / $600.79 / $615.26	Professional		$499.45	$600.79	$615.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $605.13 / $687.65 / $1,422.08	Professional		$605.13	$687.65	$1,422.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $615.26 / $615.26 / $615.26	Facility		$615.26	$615.26	$615.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $615.26 / $615.26 / $615.26	Professional		$615.26	$615.26	$615.26
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $615.26 / $615.26 / $996.72	Facility		$615.26	$615.26	$996.72
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $522.97 / $615.26 / $615.26	Professional		$522.97	$615.26	$615.26
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $615.26 / $767.27 / $767.27	Facility		$615.26	$767.27	$767.27
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $615.26 / $615.26 / $767.27	Professional		$615.26	$615.26	$767.27
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $615.26 / $615.26	Facility		$555.00	$615.26	$615.26
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $615.26 / $615.26 / $615.26	Professional		$615.26	$615.26	$615.26
United Facility/Professional Professional Modifier Low / Median / High Price $723.84 / $723.84 / $1,014.34	Professional		$723.84	$723.84	$1,014.34
Univera Facility/Professional Facility Modifier Low / Median / High Price $615.26 / $615.26 / $615.26	Facility		$615.26	$615.26	$615.26
Univera Facility/Professional Professional Modifier Low / Median / High Price $615.26 / $615.26 / $767.27	Professional		$615.26	$615.26	$767.27