Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $2,511.89 / $3,981.07	Facility		$1,148.15	$2,511.89	$3,981.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,047.13 / $1,412.54	Professional		$794.33	$1,047.13	$1,412.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $691.83 / $1,862.09	Professional		$691.83	$691.83	$1,862.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $2,137.96 / $5,011.87	Facility		$870.96	$2,137.96	$5,011.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $6,456.54 / $6,456.54	Professional		$1,348.96	$6,456.54	$6,456.54
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $2,187.76 / $5,128.61	Facility		$1,348.96	$2,187.76	$5,128.61
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,659.59 / $2,570.40	Professional		$933.25	$1,659.59	$2,570.40
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,318.26 / $2,398.83	Professional		$1,148.15	$1,318.26	$2,398.83
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $2,511.89 / $50,118.72	Facility		$1,737.80	$2,511.89	$50,118.72
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $1,380.38	Professional		$1,348.96	$1,348.96	$1,380.38
United Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $794.33 / $1,778.28	Professional		$562.34	$794.33	$1,778.28
Univera Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,348.96 / $1,548.82	Facility		$812.83	$1,348.96	$1,548.82
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,348.96 / $2,630.27	Professional		$1,148.15	$1,348.96	$2,630.27