Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $657.14 / $1,750.00	Facility		$500.00	$657.14	$1,750.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $500.00 / $634.51 / $823.33	Professional		$500.00	$634.51	$823.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $360.00 / $800.00 / $1,380.00	Professional		$360.00	$800.00	$1,380.00
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 $416.30 / $416.30 / $520.38	Professional		$416.30	$416.30	$520.38
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,173.00 / $1,173.00 / $1,900.26	Facility		$1,173.00	$1,173.00	$1,900.26
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,249.39 / $2,249.39 / $2,249.39	Professional		$2,249.39	$2,249.39	$2,249.39
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $116.37 / $1,309.00 / $1,309.00	Professional		$116.37	$1,309.00	$1,309.00
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 $500.00 / $500.00 / $520.38	Professional		$500.00	$500.00	$520.38
United Facility/Professional Professional Modifier Low / Median / High Price $998.00 / $998.00 / $998.00	Professional		$998.00	$998.00	$998.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $116.37 / $116.37 / $247.71	Facility		$116.37	$116.37	$247.71
Univera Facility/Professional Professional Modifier Low / Median / High Price $116.37 / $247.71 / $1,309.00	Professional		$116.37	$247.71	$1,309.00