Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $4,897.79 / $7,244.36	Facility		$2,089.30	$4,897.79	$7,244.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $2,041.74 / $2,570.40	Professional		$1,412.54	$2,041.74	$2,570.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $4,786.30 / $5,888.44	Professional		$1,905.46	$4,786.30	$5,888.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $3,630.78 / $9,332.54	Facility		$1,659.59	$3,630.78	$9,332.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $12,302.69 / $12,302.69	Professional		$2,570.40	$12,302.69	$12,302.69
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $4,265.80 / $10,000.00	Facility		$2,570.40	$4,265.80	$10,000.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $3,162.28 / $5,011.87	Professional		$1,819.70	$3,162.28	$5,011.87
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,570.40 / $4,570.88	Professional		$2,187.76	$2,570.40	$4,570.88
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $4,897.79 / $50,118.72	Facility		$3,311.31	$4,897.79	$50,118.72
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $2,570.40 / $2,630.27	Professional		$2,570.40	$2,570.40	$2,630.27
United Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $2,570.40 / $3,090.30	Facility		$2,290.87	$2,570.40	$3,090.30
United Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,548.82 / $3,388.44	Professional		$1,071.52	$1,548.82	$3,388.44
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $2,570.40 / $2,951.21	Facility		$2,187.76	$2,570.40	$2,951.21
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,570.40 / $5,128.61	Professional		$1,737.80	$2,570.40	$5,128.61