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 $53.70 / $75.86 / $95.50	Professional		$53.70	$75.86	$95.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $234.42 / $380.19	Professional		$194.98	$234.42	$380.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $125.89 / $50,118.72	Facility		$125.89	$125.89	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $354.81 / $354.81	Professional		$72.44	$354.81	$354.81
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $123.03 / $123.03	Professional		$123.03	$123.03	$123.03
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $69.18 / $69.18	Facility		$69.18	$69.18	$69.18
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $104.71 / $177.83	Professional		$69.18	$104.71	$177.83
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 $1,258.93 / $2,754.23 / $4,897.79	Facility		$1,258.93	$2,754.23	$4,897.79
United Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $107.15 / $251.19	Professional		$66.07	$107.15	$251.19
Univera Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $72.44 / $72.44	Facility		$72.44	$72.44	$72.44
Univera Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $72.44 / $158.49	Professional		$72.44	$72.44	$158.49