Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $91.20 / $169.82	Facility		$60.26	$91.20	$169.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $61.66 / $831.76	Professional		$60.26	$61.66	$831.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $60.26 / $63.10	Facility		$60.26	$60.26	$63.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $60.26	Professional		$60.26	$60.26	$60.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $54.95 / $239.88	Facility		$54.95	$54.95	$239.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $263.03	Professional		$60.26	$60.26	$263.03
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $87.10 / $223.87	Facility		$70.79	$87.10	$223.87
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $70.79 / $81.28	Professional		$60.26	$70.79	$81.28
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $61.66 / $64.57	Facility		$61.66	$61.66	$64.57
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $61.66 / $61.66	Professional		$61.66	$61.66	$61.66
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $50,118.72 / $75,857.76	Facility		$79.43	$50,118.72	$75,857.76
United Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $60.26 / $60.26	Facility		$60.26	$60.26	$60.26
United Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $112.20	Professional		$60.26	$60.26	$112.20
Univera Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $61.66 / $70.79	Facility		$61.66	$61.66	$70.79
Univera Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $61.66 / $74.13	Professional		$61.66	$61.66	$74.13