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 $35.90 / $50.74 / $64.66	Professional		$35.90	$50.74	$64.66
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 $29.03 / $36.04 / $55.01	Professional		$29.03	$36.04	$55.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.02 / $60.02 / $60.02	Facility		$60.02	$60.02	$60.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.70 / $251.03 / $251.03	Professional		$51.70	$251.03	$251.03
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $80.36 / $80.36 / $80.36	Professional		$80.36	$80.36	$80.36
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $49.83 / $49.83 / $49.83	Facility		$49.83	$49.83	$49.83
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.83 / $77.58 / $113.06	Professional		$49.83	$77.58	$113.06
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $60.02 / $555.00 / $74,999.25	Facility		$60.02	$555.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $51.70 / $251.03 / $251.03	Professional		$51.70	$251.03	$251.03
United Facility/Professional Professional Modifier Low / Median / High Price $48.72 / $64.66 / $123.14	Professional		$48.72	$64.66	$123.14
Univera Facility/Professional Facility Modifier Low / Median / High Price $49.83 / $51.28 / $51.28	Facility		$49.83	$51.28	$51.28
Univera Facility/Professional Professional Modifier Low / Median / High Price $51.28 / $51.28 / $113.06	Professional		$51.28	$51.28	$113.06