Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,508.00 / $4,200.00 / $9,868.00	Facility		$1,508.00	$4,200.00	$9,868.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $20.00 / $120.52	Professional		$20.00	$20.00	$120.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,691.00 / $3,382.00 / $4,707.00	Facility		$1,691.00	$3,382.00	$4,707.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $103.84 / $128.94 / $222.10	Professional		$103.84	$128.94	$222.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $307.64 / $307.64 / $307.64	Facility		$307.64	$307.64	$307.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,396.93 / $1,396.93 / $1,396.93	Professional		$1,396.93	$1,396.93	$1,396.93
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $177.01 / $282.00 / $414.09	Facility		$177.01	$282.00	$414.09
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $103.26 / $199.14 / $454.58	Professional		$103.26	$199.14	$454.58
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $136.84 / $202.27 / $325.26	Professional		$136.84	$202.27	$325.26
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $307.64 / $555.00 / $74,999.25	Facility		$307.64	$555.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,396.93 / $1,396.93 / $1,396.93	Professional		$1,396.93	$1,396.93	$1,396.93
United Facility/Professional Facility Modifier Low / Median / High Price $964.00 / $2,826.00 / $4,851.00	Facility		$964.00	$2,826.00	$4,851.00
United Facility/Professional Professional Modifier Low / Median / High Price $147.38 / $208.26 / $453.86	Professional		$147.38	$208.26	$453.86
Univera Facility/Professional Facility Modifier Low / Median / High Price $147.51 / $147.51 / $147.66	Facility		$147.51	$147.51	$147.66
Univera Facility/Professional Professional Modifier Low / Median / High Price $147.51 / $147.66 / $325.26	Professional		$147.51	$147.66	$325.26