Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $495.05 / $1,400.00	Facility		$400.00	$495.05	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $360.00 / $428.34 / $843.82	Professional		$360.00	$428.34	$843.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $200.00 / $900.00 / $1,552.50	Professional		$200.00	$900.00	$1,552.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $545.94 / $814.62 / $1,730.76	Facility		$545.94	$814.62	$1,730.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.45 / $109.45 / $136.81	Professional		$109.45	$109.45	$136.81
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $364.00 / $364.00 / $589.67	Facility		$364.00	$364.00	$589.67
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $698.32 / $698.32 / $698.32	Professional		$698.32	$698.32	$698.32
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $834.21 / $1,112.28 / $1,112.28	Professional		$834.21	$1,112.28	$1,112.28
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $254.50 / $814.62 / $1,730.76	Facility		$254.50	$814.62	$1,730.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $136.81 / $1,900.00 / $1,900.00	Professional		$136.81	$1,900.00	$1,900.00
United Facility/Professional Professional Modifier Low / Median / High Price $504.25 / $504.25 / $504.25	Professional		$504.25	$504.25	$504.25
Univera Facility/Professional Professional Modifier Low / Median / High Price $834.21 / $1,112.28 / $1,112.28	Professional		$834.21	$1,112.28	$1,112.28