Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $4,168.69 / $6,606.93	Facility		$1,905.46	$4,168.69	$6,606.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,698.24 / $2,137.96	Professional		$1,202.26	$1,698.24	$2,137.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,548.82 / $4,168.69	Professional		$1,548.82	$1,548.82	$4,168.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $3,548.13 / $7,943.28	Facility		$1,445.44	$3,548.13	$7,943.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $10,715.19 / $10,715.19	Professional		$2,570.40	$10,715.19	$10,715.19
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $3,630.78 / $8,511.38	Facility		$2,238.72	$3,630.78	$8,511.38
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,318.26 / $4,265.80	Professional		$1,047.13	$1,318.26	$4,265.80
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $2,089.30 / $2,511.89	Professional		$1,380.38	$2,089.30	$2,511.89
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $4,168.69 / $50,118.72	Facility		$2,884.03	$4,168.69	$50,118.72
United Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,995.26 / $2,691.53	Facility		$1,318.26	$1,995.26	$2,691.53
United Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,318.26 / $3,311.31	Professional		$933.25	$1,318.26	$3,311.31
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $2,290.87 / $2,570.40	Facility		$1,905.46	$2,290.87	$2,570.40
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $2,089.30 / $2,570.40	Professional		$1,348.96	$2,089.30	$2,570.40