Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,819.00 / $5,324.00 / $10,686.00	Facility		$1,819.00	$5,324.00	$10,686.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $807.94 / $893.13 / $1,302.88	Professional		$807.94	$893.13	$1,302.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,989.00 / $10,294.00 / $24,288.00	Facility		$4,989.00	$10,294.00	$24,288.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $270.31 / $332.14 / $637.79	Professional		$270.31	$332.14	$637.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $828.88 / $828.88 / $7,227.90	Facility		$828.88	$828.88	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $300.00 / $1,282.15 / $3,146.26	Professional		$300.00	$1,282.15	$3,146.26
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $944.33 / $1,989.83	Facility		$319.00	$944.33	$1,989.83
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $898.60 / $1,078.93 / $1,576.31	Professional		$898.60	$1,078.93	$1,576.31
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $635.41 / $1,140.46 / $1,544.82	Professional		$635.41	$1,140.46	$1,544.82
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $828.88 / $7,227.90	Facility		$555.00	$828.88	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $300.00 / $1,282.15 / $3,146.26	Professional		$300.00	$1,282.15	$3,146.26
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 $666.18 / $950.50 / $2,565.71	Professional		$666.18	$950.50	$2,565.71
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,009.18 / $1,009.18 / $1,009.18	Facility		$1,009.18	$1,009.18	$1,009.18
Univera Facility/Professional Professional Modifier Low / Median / High Price $635.41 / $1,134.18 / $1,568.23	Professional		$635.41	$1,134.18	$1,568.23