Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $5,370.32 / $10,964.78	Facility		$1,905.46	$5,370.32	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $870.96 / $1,148.15	Professional		$676.08	$870.96	$1,148.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $11,481.54 / $26,302.68	Facility		$5,011.87	$11,481.54	$26,302.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $331.13 / $602.56	Professional		$269.15	$331.13	$602.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $1,202.26 / $50,118.72	Facility		$34.67	$1,202.26	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $1,288.25 / $3,162.28	Professional		$281.84	$1,288.25	$3,162.28
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,318.26 / $3,162.28	Facility		$812.83	$1,318.26	$3,162.28
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,071.52 / $1,584.89	Professional		$891.25	$1,071.52	$1,584.89
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $1,148.15 / $1,949.84	Professional		$660.69	$1,148.15	$1,949.84
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 $2,818.38 / $8,128.31 / $20,417.38	Facility		$2,818.38	$8,128.31	$20,417.38
United Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $870.96 / $2,238.72	Professional		$630.96	$870.96	$2,238.72
Univera Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $1,000.00 / $1,000.00	Facility		$630.96	$1,000.00	$1,000.00
Univera Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $1,047.13 / $1,995.26	Professional		$630.96	$1,047.13	$1,995.26