Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $9,549.93 / $14,125.38	Facility		$4,073.80	$9,549.93	$14,125.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $4,073.80 / $5,495.41	Professional		$3,019.95	$4,073.80	$5,495.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $5,011.87 / $12,882.50	Facility		$5,011.87	$5,011.87	$12,882.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $10,232.93	Professional		$1,995.26	$1,995.26	$10,232.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $7,079.46 / $18,197.01	Facility		$3,235.94	$7,079.46	$18,197.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,011.87 / $23,988.33 / $23,988.33	Professional		$5,011.87	$23,988.33	$23,988.33
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $5,011.87 / $11,481.54	Facility		$2,818.38	$5,011.87	$11,481.54
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $5,248.07 / $6,606.93 / $9,772.37	Professional		$5,248.07	$6,606.93	$9,772.37
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,168.69 / $4,897.79 / $8,912.51	Professional		$4,168.69	$4,897.79	$8,912.51
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $6,456.54 / $9,332.54 / $50,118.72	Facility		$6,456.54	$9,332.54	$50,118.72
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $5,011.87 / $5,011.87 / $5,128.61	Professional		$5,011.87	$5,011.87	$5,128.61
United Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $5,011.87 / $6,025.60	Facility		$4,466.84	$5,011.87	$6,025.60
United Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $3,019.95 / $6,606.93	Professional		$2,089.30	$3,019.95	$6,606.93
Univera Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $5,011.87 / $5,754.40	Facility		$4,265.80	$5,011.87	$5,754.40
Univera Facility/Professional Professional Modifier Low / Median / High Price $4,168.69 / $5,011.87 / $10,000.00	Professional		$4,168.69	$5,011.87	$10,000.00