Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,575.60 / $4,200.00 / $9,868.00	Facility		$1,575.60	$4,200.00	$9,868.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $273.39 / $2,400.00 / $2,400.00	Professional		$273.39	$2,400.00	$2,400.00
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 $207.68 / $257.89 / $444.21	Professional		$207.68	$257.89	$444.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $629.03 / $629.03 / $629.03	Facility		$629.03	$629.03	$629.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,634.90 / $2,634.90 / $2,634.90	Professional		$2,634.90	$2,634.90	$2,634.90
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $613.46 / $1,315.98	Facility		$319.00	$613.46	$1,315.98
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $584.88 / $685.84 / $1,444.65	Professional		$584.88	$685.84	$1,444.65
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $437.74 / $647.05 / $1,040.53	Professional		$437.74	$647.05	$1,040.53
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $629.03 / $74,999.25	Facility		$555.00	$629.03	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $2,634.90 / $2,634.90 / $2,634.90	Professional		$2,634.90	$2,634.90	$2,634.90
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 $425.12 / $641.04 / $1,433.31	Professional		$425.12	$641.04	$1,433.31
Univera Facility/Professional Facility Modifier Low / Median / High Price $471.89 / $471.89 / $472.36	Facility		$471.89	$471.89	$472.36
Univera Facility/Professional Professional Modifier Low / Median / High Price $471.89 / $472.36 / $1,040.53	Professional		$471.89	$472.36	$1,040.53