Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,819.00 / $5,298.00 / $10,170.00	Facility		$1,819.00	$5,298.00	$10,170.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $157.12 / $232.95 / $297.39	Professional		$157.12	$232.95	$297.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $3,373.00 / $4,707.00	Facility		$1,689.00	$3,373.00	$4,707.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.05 / $54.71 / $103.31	Professional		$44.05	$54.71	$103.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $196.85 / $196.85 / $14,648.00	Facility		$196.85	$196.85	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $145.94 / $743.68 / $743.68	Professional		$145.94	$743.68	$743.68
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $168.66 / $278.75 / $418.12	Facility		$168.66	$278.75	$418.12
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $185.53 / $219.18 / $340.07	Professional		$185.53	$219.18	$340.07
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $140.22 / $201.80 / $333.31	Professional		$140.22	$201.80	$333.31
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $196.85 / $555.00 / $74,999.25	Facility		$196.85	$555.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $145.94 / $743.68 / $743.68	Professional		$145.94	$743.68	$743.68
United Facility/Professional Facility Modifier Low / Median / High Price $767.00 / $2,744.00 / $4,840.00	Facility		$767.00	$2,744.00	$4,840.00
United Facility/Professional Professional Modifier Low / Median / High Price $133.06 / $182.12 / $368.85	Professional		$133.06	$182.12	$368.85
Univera Facility/Professional Facility Modifier Low / Median / High Price $151.16 / $151.16 / $151.31	Facility		$151.16	$151.16	$151.31
Univera Facility/Professional Professional Modifier Low / Median / High Price $151.16 / $151.16 / $290.68	Professional		$151.16	$151.16	$290.68