Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,508.00 / $4,043.00 / $9,661.00	Facility		$1,508.00	$4,043.00	$9,661.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.09 / $76.43 / $96.61	Professional		$54.09	$76.43	$96.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $192.50 / $230.39 / $392.17	Professional		$192.50	$230.39	$392.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $84.96 / $84.96 / $14,648.00	Facility		$84.96	$84.96	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.09 / $353.93 / $353.93	Professional		$71.09	$353.93	$353.93
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $110.90 / $110.90 / $110.90	Professional		$110.90	$110.90	$110.90
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $69.78 / $69.78 / $69.78	Facility		$69.78	$69.78	$69.78
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.78 / $104.69 / $158.35	Professional		$69.78	$104.69	$158.35
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $84.96 / $555.00 / $597.00	Facility		$84.96	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $71.09 / $353.93 / $353.93	Professional		$71.09	$353.93	$353.93
United Facility/Professional Facility Modifier Low / Median / High Price $964.00 / $2,826.00 / $4,851.00	Facility		$964.00	$2,826.00	$4,851.00
United Facility/Professional Professional Modifier Low / Median / High Price $66.29 / $102.57 / $240.36	Professional		$66.29	$102.57	$240.36
Univera Facility/Professional Facility Modifier Low / Median / High Price $69.78 / $71.81 / $71.81	Facility		$69.78	$71.81	$71.81
Univera Facility/Professional Professional Modifier Low / Median / High Price $71.81 / $71.81 / $158.35	Professional		$71.81	$71.81	$158.35