Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,508.00 / $3,859.00 / $8,134.00	Facility		$1,508.00	$3,859.00	$8,134.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $206.97 / $301.77 / $365.82	Professional		$206.97	$301.77	$365.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,651.00 / $3,263.00 / $4,636.00	Facility		$1,651.00	$3,263.00	$4,636.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.06 / $173.98 / $205.34	Professional		$73.06	$173.98	$205.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $363.80 / $363.80 / $7,289.38	Facility		$363.80	$363.80	$7,289.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,428.12 / $1,428.12 / $1,428.12	Professional		$1,428.12	$1,428.12	$1,428.12
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $412.95 / $412.95 / $412.95	Professional		$412.95	$412.95	$412.95
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $281.72 / $281.72 / $281.72	Facility		$281.72	$281.72	$281.72
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $281.72 / $407.09 / $639.20	Professional		$281.72	$407.09	$639.20
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $363.80 / $597.00 / $7,289.38	Facility		$363.80	$597.00	$7,289.38
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,428.12 / $1,428.12 / $1,428.12	Professional		$1,428.12	$1,428.12	$1,428.12
United Facility/Professional Facility Modifier Low / Median / High Price $1,269.00 / $3,612.00 / $8,133.00	Facility		$1,269.00	$3,612.00	$8,133.00
United Facility/Professional Professional Modifier Low / Median / High Price $255.90 / $354.59 / $794.29	Professional		$255.90	$354.59	$794.29
Univera Facility/Professional Facility Modifier Low / Median / High Price $281.72 / $289.88 / $289.88	Facility		$281.72	$289.88	$289.88
Univera Facility/Professional Professional Modifier Low / Median / High Price $289.88 / $289.88 / $608.13	Professional		$289.88	$289.88	$608.13