Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $3,981.07 / $9,332.54	Facility		$1,584.89	$3,981.07	$9,332.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $131.83 / $169.82	Professional		$95.50	$131.83	$169.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $3,630.78 / $5,011.87	Facility		$1,819.70	$3,630.78	$5,011.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $120.23 / $234.42	Professional		$100.00	$120.23	$234.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $53,703.18	Facility		$1,000.00	$1,000.00	$53,703.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,890.45 / $3,890.45 / $3,890.45	Professional		$3,890.45	$3,890.45	$3,890.45
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $190.55 / $457.09	Facility		$117.49	$190.55	$457.09
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $2,951.21 / $4,168.69	Professional		$2,398.83	$2,951.21	$4,168.69
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $38.02 / $64.57	Professional		$24.55	$38.02	$64.57
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 $1,479.11 / $3,311.31 / $6,165.95	Facility		$1,479.11	$3,311.31	$6,165.95
United Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $162.18 / $1,513.56	Professional		$93.33	$162.18	$1,513.56
Univera Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $33.11 / $33.11	Facility		$20.89	$33.11	$33.11
Univera Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $34.67 / $66.07	Professional		$20.89	$34.67	$66.07