Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,335.00 / $3,996.00 / $11,396.00	Facility		$1,335.00	$3,996.00	$11,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $199.59 / $304.98 / $325.25	Professional		$199.59	$304.98	$325.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,393.00 / $4,086.00 / $9,301.00	Facility		$2,393.00	$4,086.00	$9,301.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.94 / $174.42 / $278.33	Professional		$141.94	$174.42	$278.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $330.96 / $330.96 / $1,765.00	Facility		$330.96	$330.96	$1,765.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $325.55 / $1,234.79 / $1,234.79	Professional		$325.55	$1,234.79	$1,234.79
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $356.88 / $844.34	Facility		$319.00	$356.88	$844.34
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $225.51 / $375.26 / $649.20	Professional		$225.51	$375.26	$649.20
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $274.52 / $274.52 / $274.52	Facility		$274.52	$274.52	$274.52
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $274.52 / $396.68 / $595.42	Professional		$274.52	$396.68	$595.42
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $330.96 / $330.96 / $1,765.00	Facility		$330.96	$330.96	$1,765.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $325.55 / $1,234.79 / $1,234.79	Professional		$325.55	$1,234.79	$1,234.79
United Facility/Professional Facility Modifier Low / Median / High Price $671.00 / $2,597.00 / $4,840.00	Facility		$671.00	$2,597.00	$4,840.00
United Facility/Professional Professional Modifier Low / Median / High Price $248.60 / $343.39 / $771.94	Professional		$248.60	$343.39	$771.94
Univera Facility/Professional Facility Modifier Low / Median / High Price $274.52 / $274.52 / $274.79	Facility		$274.52	$274.52	$274.79
Univera Facility/Professional Professional Modifier Low / Median / High Price $274.52 / $274.52 / $575.90	Professional		$274.52	$274.52	$575.90