Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $6,025.60 / $9,549.93	Facility		$2,691.53	$6,025.60	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,511.89 / $3,388.44	Professional		$1,905.46	$2,511.89	$3,388.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,148.15 / $3,467.37	Professional		$1,148.15	$1,148.15	$3,467.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $5,128.61 / $12,022.64	Facility		$2,089.30	$5,128.61	$12,022.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,235.94 / $15,488.17 / $15,488.17	Professional		$3,235.94	$15,488.17	$15,488.17
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $5,248.07 / $12,302.69	Facility		$3,235.94	$5,248.07	$12,302.69
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,388.44 / $4,168.69 / $6,165.95	Professional		$3,388.44	$4,168.69	$6,165.95
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $3,162.28 / $5,754.40	Professional		$2,691.53	$3,162.28	$5,754.40
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $6,025.60 / $50,118.72	Facility		$4,168.69	$6,025.60	$50,118.72
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $3,235.94 / $3,235.94 / $3,311.31	Professional		$3,235.94	$3,235.94	$3,311.31
United Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $3,235.94 / $3,801.89	Facility		$2,884.03	$3,235.94	$3,801.89
United Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,905.46 / $4,265.80	Professional		$1,348.96	$1,905.46	$4,265.80
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $3,235.94 / $3,715.35	Facility		$2,691.53	$3,235.94	$3,715.35
Univera Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $3,235.94 / $6,309.57	Professional		$2,187.76	$3,235.94	$6,309.57