Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,240.00 / $5,088.00 / $9,120.00	Facility		$2,240.00	$5,088.00	$9,120.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,696.00 / $2,104.00 / $2,720.00	Professional		$1,696.00	$2,104.00	$2,720.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,148.40 / $1,148.40 / $3,646.17	Professional		$1,148.40	$1,148.40	$3,646.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,840.00 / $6,760.00 / $11,520.14	Facility		$3,840.00	$6,760.00	$11,520.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,897.99 / $15,424.00 / $15,424.00	Professional		$3,897.99	$15,424.00	$15,424.00
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $294.00 / $3,840.00 / $7,200.00	Facility		$294.00	$3,840.00	$7,200.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,360.00 / $4,192.00 / $6,944.00	Professional		$3,360.00	$4,192.00	$6,944.00
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,720.00 / $3,160.43 / $5,802.54	Professional		$2,720.00	$3,160.43	$5,802.54
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $6,760.00 / $11,520.14	Facility		$597.00	$6,760.00	$11,520.14
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $2,080.00 / $3,456.00 / $7,360.00	Professional		$2,080.00	$3,456.00	$7,360.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,344.00 / $1,920.00 / $4,849.85	Professional		$1,344.00	$1,920.00	$4,849.85
Univera Facility/Professional Facility Modifier Low / Median / High Price $3,267.90 / $3,679.92 / $3,679.92	Facility		$3,267.90	$3,679.92	$3,679.92
Univera Facility/Professional Professional Modifier Low / Median / High Price $2,720.00 / $3,267.90 / $3,846.13	Professional		$2,720.00	$3,267.90	$3,846.13