Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $6,760.83 / $10,715.19	Facility		$3,090.30	$6,760.83	$10,715.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,884.03 / $3,981.07	Professional		$2,137.96	$2,884.03	$3,981.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,445.44 / $3,890.45	Professional		$1,318.26	$1,445.44	$3,890.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $5,754.40 / $13,489.63	Facility		$2,344.23	$5,754.40	$13,489.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,630.78 / $5,248.07 / $17,378.01	Professional		$3,630.78	$5,248.07	$17,378.01
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $5,888.44 / $13,803.84	Facility		$3,630.78	$5,888.44	$13,803.84
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,801.89 / $4,677.35 / $6,918.31	Professional		$3,801.89	$4,677.35	$6,918.31
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $3,548.13 / $6,456.54	Professional		$3,090.30	$3,548.13	$6,456.54
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $4,677.35 / $6,760.83 / $50,118.72	Facility		$4,677.35	$6,760.83	$50,118.72
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $3,630.78 / $3,630.78 / $3,715.35	Professional		$3,630.78	$3,630.78	$3,715.35
United Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $3,630.78 / $4,365.16	Facility		$3,235.94	$3,630.78	$4,365.16
United Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,137.96 / $4,786.30	Professional		$1,513.56	$2,137.96	$4,786.30
Univera Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $3,715.35 / $4,168.69	Facility		$3,090.30	$3,715.35	$4,168.69
Univera Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $3,630.78 / $7,079.46	Professional		$2,454.71	$3,630.78	$7,079.46