Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $1,148.15 / $1,819.70	Facility		$512.86	$1,148.15	$1,819.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $478.63 / $645.65	Professional		$363.08	$478.63	$645.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $575.44 / $1,380.38	Professional		$575.44	$575.44	$1,380.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $977.24 / $2,290.87	Facility		$398.11	$977.24	$2,290.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $2,951.21 / $2,951.21	Professional		$602.56	$2,951.21	$2,951.21
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $1,000.00 / $2,344.23	Facility		$602.56	$1,000.00	$2,344.23
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $794.33 / $1,174.90	Professional		$645.65	$794.33	$1,174.90
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $602.56 / $1,096.48	Professional		$512.86	$602.56	$1,096.48
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,148.15 / $50,118.72	Facility		$794.33	$1,148.15	$50,118.72
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $602.56 / $630.96	Professional		$602.56	$602.56	$630.96
United Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $602.56 / $724.44	Facility		$549.54	$602.56	$724.44
United Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $363.08 / $794.33	Professional		$257.04	$363.08	$794.33
Univera Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $616.60 / $691.83	Facility		$512.86	$616.60	$691.83
Univera Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $602.56 / $1,202.26	Professional		$416.87	$602.56	$1,202.26