Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,677.35 / $10,232.93 / $16,595.87	Facility		$4,677.35	$10,232.93	$16,595.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $4,365.16 / $6,025.60	Professional		$2,951.21	$4,365.16	$6,025.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,698.24 / $5,495.41	Professional		$1,047.13	$1,698.24	$5,495.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $8,709.64 / $20,417.38	Facility		$3,548.13	$8,709.64	$20,417.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,495.41 / $26,302.68 / $26,302.68	Professional		$5,495.41	$26,302.68	$26,302.68
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $5,495.41 / $9,120.11 / $20,892.96	Facility		$5,495.41	$9,120.11	$20,892.96
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $5,754.40 / $7,244.36 / $10,715.19	Professional		$5,754.40	$7,244.36	$10,715.19
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,677.35 / $5,370.32 / $9,772.37	Professional		$4,677.35	$5,370.32	$9,772.37
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $7,079.46 / $10,232.93 / $50,118.72	Facility		$7,079.46	$10,232.93	$50,118.72
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $5,495.41 / $5,495.41 / $5,623.41	Professional		$5,495.41	$5,495.41	$5,623.41
United Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $5,495.41 / $6,606.93	Facility		$4,897.79	$5,495.41	$6,606.93
United Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $3,311.31 / $7,244.36	Professional		$2,290.87	$3,311.31	$7,244.36
Univera Facility/Professional Facility Modifier Low / Median / High Price $4,677.35 / $5,623.41 / $6,309.57	Facility		$4,677.35	$5,623.41	$6,309.57
Univera Facility/Professional Professional Modifier Low / Median / High Price $3,715.35 / $5,495.41 / $10,964.78	Professional		$3,715.35	$5,495.41	$10,964.78