Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,508.00 / $4,066.00 / $9,661.00	Facility		$1,508.00	$4,066.00	$9,661.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.08 / $189.48 / $189.48	Professional		$24.08	$189.48	$189.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,691.00 / $3,333.00 / $4,636.00	Facility		$1,691.00	$3,333.00	$4,636.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.25 / $45.00 / $91.50	Professional		$38.25	$45.00	$91.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.38 / $61.38 / $3,479.91	Facility		$61.38	$61.38	$3,479.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.04 / $143.46 / $376.32	Professional		$40.04	$143.46	$376.32
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $40.22 / $90.50 / $332.00	Facility		$40.22	$90.50	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $66.18 / $78.97 / $118.18	Professional		$66.18	$78.97	$118.18
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.64 / $85.50 / $105.92	Professional		$47.64	$85.50	$105.92
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $61.38 / $555.00 / $3,479.91	Facility		$61.38	$555.00	$3,479.91
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $46.79 / $150.00 / $300.00	Professional		$46.79	$150.00	$300.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,079.00 / $2,826.00 / $4,851.00	Facility		$1,079.00	$2,826.00	$4,851.00
United Facility/Professional Professional Modifier Low / Median / High Price $20.72 / $32.26 / $83.99	Professional		$20.72	$32.26	$83.99
Univera Facility/Professional Facility Modifier Low / Median / High Price $47.12 / $47.12 / $47.12	Facility		$47.12	$47.12	$47.12
Univera Facility/Professional Professional Modifier Low / Median / High Price $47.64 / $75.66 / $115.30	Professional		$47.64	$75.66	$115.30