Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $976.80 / $4,648.00 / $10,296.00	Facility		$976.80	$4,648.00	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.31 / $68.26 / $80.06	Professional		$59.31	$68.26	$80.06
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,691.00 / $3,382.00 / $4,707.00	Facility		$1,691.00	$3,382.00	$4,707.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $61.04 / $104.91	Professional		$50.00	$61.04	$104.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $88.73 / $88.73 / $14,648.00	Facility		$88.73	$88.73	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.13 / $102.12 / $242.33	Professional		$52.13	$102.12	$242.33
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $62.27 / $113.95 / $332.00	Facility		$62.27	$113.95	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $62.27 / $75.69 / $153.81	Professional		$62.27	$75.69	$153.81
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.34 / $73.17 / $144.72	Professional		$27.34	$73.17	$144.72
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $88.73 / $88.73 / $597.00	Facility		$88.73	$88.73	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $94.90 / $221.65	Professional		$40.00	$94.90	$221.65
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 $50.16 / $91.06 / $201.12	Professional		$50.16	$91.06	$201.12
Univera Facility/Professional Facility Modifier Low / Median / High Price $84.08 / $84.08 / $130.69	Facility		$84.08	$84.08	$130.69
Univera Facility/Professional Professional Modifier Low / Median / High Price $27.34 / $84.08 / $184.46	Professional		$27.34	$84.08	$184.46