Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,837.00 / $6,250.00 / $14,670.00	Facility		$1,837.00	$6,250.00	$14,670.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $231.76 / $369.31 / $414.58	Professional		$231.76	$369.31	$414.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,691.00 / $3,366.00 / $4,707.00	Facility		$1,691.00	$3,366.00	$4,707.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $192.62 / $244.25 / $450.72	Professional		$192.62	$244.25	$450.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $364.63 / $364.63 / $6,511.02	Facility		$364.63	$364.63	$6,511.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $304.72 / $1,517.00 / $1,517.00	Professional		$304.72	$1,517.00	$1,517.00
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 $299.23 / $448.84 / $597.92	Professional		$299.23	$448.84	$597.92
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $364.63 / $597.00 / $74,999.25	Facility		$364.63	$597.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $304.72 / $1,517.00 / $1,517.00	Professional		$304.72	$1,517.00	$1,517.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,348.00 / $3,496.00 / $5,963.00	Facility		$1,348.00	$3,496.00	$5,963.00
United Facility/Professional Professional Modifier Low / Median / High Price $302.91 / $445.98 / $1,203.08	Professional		$302.91	$445.98	$1,203.08
Univera Facility/Professional Facility Modifier Low / Median / High Price $308.20 / $308.20 / $308.20	Facility		$308.20	$308.20	$308.20
Univera Facility/Professional Professional Modifier Low / Median / High Price $308.20 / $465.90 / $646.58	Professional		$308.20	$465.90	$646.58