Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.81 / $780.00 / $1,460.00	Facility		$33.81	$780.00	$1,460.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $43.26 / $1,157.20	Professional		$30.00	$43.26	$1,157.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $361.10 / $800.00 / $1,260.00	Professional		$361.10	$800.00	$1,260.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $522.00 / $891.00 / $1,341.00	Professional		$522.00	$891.00	$1,341.00
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $750.00 / $750.00 / $750.00	Facility		$750.00	$750.00	$750.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $214.70 / $800.00 / $1,212.80	Professional		$214.70	$800.00	$1,212.80
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $151.19 / $630.00 / $862.65	Professional		$151.19	$630.00	$862.65
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $74,999.25	Facility		$555.00	$597.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $513.00 / $900.00 / $1,350.00	Professional		$513.00	$900.00	$1,350.00
United Facility/Professional Professional Modifier Low / Median / High Price $52.00 / $75.00 / $120.00	Professional		$52.00	$75.00	$120.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $396.00 / $396.00 / $396.00	Facility		$396.00	$396.00	$396.00
Univera Facility/Professional Professional Modifier Low / Median / High Price $178.11 / $639.00 / $927.00	Professional		$178.11	$639.00	$927.00