Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $4,168.69 / $9,120.11	Facility		$1,819.70	$4,168.69	$9,120.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $134.90 / $173.78	Professional		$91.20	$134.90	$173.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $4,786.30 / $9,772.37	Facility		$2,630.27	$4,786.30	$9,772.37
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $154.88 / $223.87	Professional		$120.23	$154.88	$223.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $245.47 / $50,118.72	Facility		$245.47	$245.47	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $676.08 / $676.08	Professional		$676.08	$676.08	$676.08
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $181.97 / $181.97	Professional		$181.97	$181.97	$181.97
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $134.90 / $134.90	Facility		$134.90	$134.90	$134.90
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $213.80 / $363.08	Professional		$138.04	$213.80	$363.08
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 $1,698.24 / $3,890.45 / $9,120.11	Facility		$1,698.24	$3,890.45	$9,120.11
United Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $154.88 / $363.08	Professional		$112.20	$154.88	$363.08
Univera Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $138.04 / $138.04	Facility		$138.04	$138.04	$138.04
Univera Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $138.04 / $302.00	Professional		$138.04	$138.04	$302.00