Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $2,398.83 / $3,801.89	Facility		$1,071.52	$2,398.83	$3,801.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,000.00 / $1,412.54	Professional		$758.58	$1,000.00	$1,412.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $66.07 / $741.31	Professional		$66.07	$66.07	$741.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $2,041.74 / $4,786.30	Facility		$812.83	$2,041.74	$4,786.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $6,025.60 / $6,025.60	Professional		$1,258.93	$6,025.60	$6,025.60
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $2,089.30 / $4,897.79	Facility		$1,258.93	$2,089.30	$4,897.79
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,659.59 / $2,454.71	Professional		$1,318.26	$1,659.59	$2,454.71
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,258.93 / $2,238.72	Professional		$1,071.52	$1,258.93	$2,238.72
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $2,398.83 / $50,118.72	Facility		$1,659.59	$2,398.83	$50,118.72
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $1,288.25	Professional		$1,258.93	$1,258.93	$1,288.25
United Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,258.93 / $1,513.56	Facility		$1,148.15	$1,258.93	$1,513.56
United Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $758.58 / $1,659.59	Professional		$524.81	$758.58	$1,659.59
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,288.25 / $1,445.44	Facility		$1,071.52	$1,288.25	$1,445.44
Univera Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,258.93 / $2,511.89	Professional		$851.14	$1,258.93	$2,511.89