Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,819.00 / $4,648.00 / $9,868.00	Facility		$1,819.00	$4,648.00	$9,868.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,070.78 / $1,678.46 / $1,828.85	Professional		$1,070.78	$1,678.46	$1,828.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,283.00 / $5,160.00 / $11,809.00	Facility		$3,283.00	$5,160.00	$11,809.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.58 / $39.25 / $72.42	Professional		$32.58	$39.25	$72.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,759.54 / $1,759.54 / $13,296.25	Facility		$1,759.54	$1,759.54	$13,296.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7,327.80 / $7,327.80 / $7,327.80	Professional		$7,327.80	$7,327.80	$7,327.80
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,255.40 / $2,255.40 / $2,255.40	Professional		$2,255.40	$2,255.40	$2,255.40
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $2,023.61 / $3,119.90	Professional		$1,445.44	$2,023.61	$3,119.90
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,759.54 / $13,296.25	Facility		$555.00	$1,759.54	$13,296.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $7,327.80 / $7,327.80 / $7,327.80	Professional		$7,327.80	$7,327.80	$7,327.80
United Facility/Professional Facility Modifier Low / Median / High Price $2,031.00 / $4,840.00 / $9,202.00	Facility		$2,031.00	$4,840.00	$9,202.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,369.42 / $2,022.15 / $5,147.70	Professional		$1,369.42	$2,022.15	$5,147.70
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,487.19 / $1,487.19 / $1,487.19	Facility		$1,487.19	$1,487.19	$1,487.19
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,487.19 / $1,487.19 / $2,870.27	Professional		$1,487.19	$1,487.19	$2,870.27