Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $588.60 / $1,260.00 / $2,052.00	Facility		$588.60	$1,260.00	$2,052.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $392.40 / $392.40 / $612.00	Professional		$392.40	$392.40	$612.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $228.90 / $228.90 / $720.00	Professional		$228.90	$228.90	$720.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $381.60 / $1,010.88 / $2,515.17	Facility		$381.60	$1,010.88	$2,515.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $827.24 / $1,034.05 / $3,470.40	Professional		$827.24	$1,034.05	$3,470.40
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $936.00 / $1,620.00	Facility		$319.00	$936.00	$1,620.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $288.00 / $424.80 / $1,346.40	Professional		$288.00	$424.80	$1,346.40
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $450.94 / $684.00 / $821.48	Professional		$450.94	$684.00	$821.48
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $468.00 / $1,296.06 / $2,592.12	Facility		$468.00	$1,296.06	$2,592.12
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $468.00 / $720.00 / $1,483.20	Professional		$468.00	$720.00	$1,483.20
United Facility/Professional Professional Modifier Low / Median / High Price $302.39 / $432.00 / $1,116.00	Professional		$302.39	$432.00	$1,116.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $720.00 / $827.98 / $827.98	Facility		$720.00	$827.98	$827.98
Univera Facility/Professional Professional Modifier Low / Median / High Price $450.94 / $720.00 / $865.38	Professional		$450.94	$720.00	$865.38