Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,704.50 / $3,871.65 / $6,939.75	Facility		$1,704.50	$3,871.65	$6,939.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,290.55 / $1,601.01 / $2,069.75	Professional		$1,290.55	$1,601.01	$2,069.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.20 / $974.00 / $1,461.00	Professional		$67.20	$974.00	$1,461.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,922.00 / $5,143.93 / $8,766.16	Facility		$2,922.00	$5,143.93	$8,766.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,965.96 / $11,736.70 / $11,736.70	Professional		$2,965.96	$11,736.70	$11,736.70
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $3,165.50 / $5,478.75	Facility		$319.00	$3,165.50	$5,478.75
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,704.50 / $3,165.50 / $5,283.95	Professional		$1,704.50	$3,165.50	$5,283.95
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,069.75 / $2,435.00 / $4,415.37	Professional		$2,069.75	$2,435.00	$4,415.37
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $5,143.93 / $8,766.16	Facility		$555.00	$5,143.93	$8,766.16
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,582.75 / $2,629.80 / $5,600.50	Professional		$1,582.75	$2,629.80	$5,600.50
United Facility/Professional Professional Modifier Low / Median / High Price $1,022.70 / $1,461.00 / $3,690.44	Professional		$1,022.70	$1,461.00	$3,690.44
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,573.46 / $2,800.19 / $2,800.19	Facility		$2,573.46	$2,800.19	$2,800.19
Univera Facility/Professional Professional Modifier Low / Median / High Price $2,069.75 / $2,573.46 / $2,936.17	Professional		$2,069.75	$2,573.46	$2,936.17