Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,300.00 / $6,586.00 / $14,700.00	Facility		$2,300.00	$6,586.00	$14,700.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $362.72 / $577.47 / $648.25	Professional		$362.72	$577.47	$648.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,263.00 / $5,184.00 / $11,809.00	Facility		$3,263.00	$5,184.00	$11,809.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $305.48 / $387.35 / $725.94	Professional		$305.48	$387.35	$725.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $678.13 / $678.13 / $13,296.25	Facility		$678.13	$678.13	$13,296.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $769.14 / $2,243.57 / $2,243.57	Professional		$769.14	$2,243.57	$2,243.57
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $38,357.00 / $47,648.00 / $71,078.00	Facility		$38,357.00	$47,648.00	$71,078.00
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $442.58 / $663.87 / $935.48	Professional		$442.58	$663.87	$935.48
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $678.13 / $74,999.25	Facility		$555.00	$678.13	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $769.14 / $2,243.57 / $2,243.57	Professional		$769.14	$2,243.57	$2,243.57
United Facility/Professional Facility Modifier Low / Median / High Price $2,264.00 / $5,248.00 / $11,176.00	Facility		$2,264.00	$5,248.00	$11,176.00
United Facility/Professional Professional Modifier Low / Median / High Price $534.29 / $741.05 / $1,588.31	Professional		$534.29	$741.05	$1,588.31
Univera Facility/Professional Facility Modifier Low / Median / High Price $482.21 / $482.21 / $482.21	Facility		$482.21	$482.21	$482.21
Univera Facility/Professional Professional Modifier Low / Median / High Price $482.21 / $689.09 / $1,011.60	Professional		$482.21	$689.09	$1,011.60