Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $4,073.80 / $12,022.64	Facility		$1,584.89	$4,073.80	$12,022.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $223.87 / $645.65	Professional		$138.04	$223.87	$645.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $7,762.47 / $13,803.84	Facility		$4,073.80	$7,762.47	$13,803.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $87.10 / $154.88	Professional		$69.18	$87.10	$154.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $426.58 / $53,703.18	Facility		$426.58	$426.58	$53,703.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $1,122.02 / $1,122.02	Professional		$245.47	$1,122.02	$1,122.02
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $398.11 / $912.01	Facility		$239.88	$398.11	$912.01
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $275.42 / $457.09	Professional		$165.96	$275.42	$457.09
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $309.03 / $562.34	Professional		$213.80	$309.03	$562.34
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $50,118.72 / $53,703.18 / $75,857.76	Facility		$50,118.72	$53,703.18	$75,857.76
United Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $5,495.41 / $13,489.63	Facility		$2,398.83	$5,495.41	$13,489.63
United Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $302.00 / $691.83	Professional		$204.17	$302.00	$691.83
Univera Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $213.80 / $213.80	Facility		$181.97	$213.80	$213.80
Univera Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $213.80 / $467.74	Professional		$204.17	$213.80	$467.74