Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,668.00 / $5,176.00 / $12,075.00	Facility		$1,668.00	$5,176.00	$12,075.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $118.39 / $744.80 / $744.80	Professional		$118.39	$744.80	$744.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,100.00 / $7,278.00 / $12,915.00	Facility		$4,100.00	$7,278.00	$12,915.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $111.34 / $134.12 / $267.92	Professional		$111.34	$134.12	$267.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $262.99 / $262.99 / $7,227.90	Facility		$262.99	$262.99	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $236.47 / $1,102.29 / $1,102.29	Professional		$236.47	$1,102.29	$1,102.29
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $250.00 / $332.00 / $596.14	Facility		$250.00	$332.00	$596.14
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $167.59 / $289.58 / $465.49	Professional		$167.59	$289.58	$465.49
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $203.78 / $294.14 / $450.01	Professional		$203.78	$294.14	$450.01
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $262.99 / $555.00 / $7,227.90	Facility		$262.99	$555.00	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $236.47 / $1,102.29 / $1,102.29	Professional		$236.47	$1,102.29	$1,102.29
United Facility/Professional Facility Modifier Low / Median / High Price $2,337.00 / $6,450.00 / $12,742.00	Facility		$2,337.00	$6,450.00	$12,742.00
United Facility/Professional Professional Modifier Low / Median / High Price $221.02 / $309.05 / $798.64	Professional		$221.02	$309.05	$798.64
Univera Facility/Professional Facility Modifier Low / Median / High Price $214.51 / $214.51 / $214.72	Facility		$214.51	$214.51	$214.72
Univera Facility/Professional Professional Modifier Low / Median / High Price $214.51 / $214.72 / $450.01	Professional		$214.51	$214.72	$450.01