Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,626.00 / $6,962.00 / $16,300.00	Facility		$2,626.00	$6,962.00	$16,300.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $420.85 / $669.63 / $751.69	Professional		$420.85	$669.63	$751.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,100.00 / $7,264.00 / $12,274.00	Facility		$4,100.00	$7,264.00	$12,274.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $813.50 / $962.77 / $1,810.19	Professional		$813.50	$962.77	$1,810.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,903.42 / $19,389.79 / $32,297.00	Facility		$6,903.42	$19,389.79	$32,297.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $552.64 / $2,754.92 / $2,754.92	Professional		$552.64	$2,754.92	$2,754.92
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $786.17 / $786.17 / $786.17	Professional		$786.17	$786.17	$786.17
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $543.41 / $815.13 / $1,172.99	Professional		$543.41	$815.13	$1,172.99
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $661.51 / $17,627.08 / $32,297.00	Facility		$661.51	$17,627.08	$32,297.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $552.64 / $2,754.92 / $2,754.92	Professional		$552.64	$2,754.92	$2,754.92
United Facility/Professional Facility Modifier Low / Median / High Price $2,705.00 / $7,719.00 / $17,688.00	Facility		$2,705.00	$7,719.00	$17,688.00
United Facility/Professional Professional Modifier Low / Median / High Price $594.05 / $785.08 / $2,030.42	Professional		$594.05	$785.08	$2,030.42
Univera Facility/Professional Facility Modifier Low / Median / High Price $559.14 / $559.14 / $559.14	Facility		$559.14	$559.14	$559.14
Univera Facility/Professional Professional Modifier Low / Median / High Price $559.14 / $787.94 / $1,172.99	Professional		$559.14	$787.94	$1,172.99