Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $9,772.37 / $14,791.08	Facility		$4,265.80	$9,772.37	$14,791.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $3,981.07 / $5,011.87	Professional		$2,818.38	$3,981.07	$5,011.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $1,905.46 / $5,623.41	Professional		$1,905.46	$1,905.46	$5,623.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $7,413.10 / $18,620.87	Facility		$3,388.44	$7,413.10	$18,620.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,248.07 / $25,118.86 / $25,118.86	Professional		$5,248.07	$25,118.86	$25,118.86
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $5,248.07 / $8,709.64 / $19,952.62	Facility		$5,248.07	$8,709.64	$19,952.62
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,630.78 / $6,456.54 / $10,232.93	Professional		$3,630.78	$6,456.54	$10,232.93
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,466.84 / $5,128.61 / $9,332.54	Professional		$4,466.84	$5,128.61	$9,332.54
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $6,760.83 / $9,772.37 / $50,118.72	Facility		$6,760.83	$9,772.37	$50,118.72
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $5,248.07 / $5,248.07 / $5,370.32	Professional		$5,248.07	$5,248.07	$5,370.32
United Facility/Professional Facility Modifier Low / Median / High Price $4,677.35 / $5,248.07 / $6,309.57	Facility		$4,677.35	$5,248.07	$6,309.57
United Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $3,162.28 / $6,918.31	Professional		$2,187.76	$3,162.28	$6,918.31
Univera Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $5,248.07 / $6,025.60	Facility		$4,466.84	$5,248.07	$6,025.60
Univera Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $5,248.07 / $10,232.93	Professional		$3,548.13	$5,248.07	$10,232.93