Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,548.00 / $5,894.00 / $10,965.00	Facility		$1,548.00	$5,894.00	$10,965.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.95 / $74.62 / $95.32	Professional		$52.95	$74.62	$95.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,263.00 / $5,196.00 / $11,909.00	Facility		$3,263.00	$5,196.00	$11,909.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.58 / $40.47 / $63.90	Professional		$32.58	$40.47	$63.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $82.77 / $82.77 / $82.77	Facility		$82.77	$82.77	$82.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.00 / $346.12 / $346.12	Professional		$68.00	$346.12	$346.12
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $95.67 / $95.67 / $95.67	Professional		$95.67	$95.67	$95.67
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $68.72 / $68.72 / $68.72	Facility		$68.72	$68.72	$68.72
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $68.72 / $107.00 / $155.94	Professional		$68.72	$107.00	$155.94
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $82.77 / $555.00 / $74,999.25	Facility		$82.77	$555.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $68.00 / $346.12 / $346.12	Professional		$68.00	$346.12	$346.12
United Facility/Professional Professional Modifier Low / Median / High Price $68.67 / $95.34 / $183.90	Professional		$68.67	$95.34	$183.90
Univera Facility/Professional Facility Modifier Low / Median / High Price $68.72 / $70.72 / $70.72	Facility		$68.72	$70.72	$70.72
Univera Facility/Professional Professional Modifier Low / Median / High Price $70.72 / $70.72 / $155.94	Professional		$70.72	$70.72	$155.94