Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $753.33 / $1,750.00	Facility		$500.00	$753.33	$1,750.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $500.00 / $753.33 / $893.51	Professional		$500.00	$753.33	$893.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $480.00 / $900.00 / $1,552.50	Professional		$480.00	$900.00	$1,552.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $124.72 / $186.09 / $343.79	Facility		$124.72	$186.09	$343.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $519.54 / $519.54 / $649.44	Professional		$519.54	$519.54	$649.44
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 $1,309.00 / $1,309.00 / $1,309.00	Professional		$1,309.00	$1,309.00	$1,309.00
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $93.28 / $186.09 / $343.79	Facility		$93.28	$186.09	$343.79
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $649.44 / $750.00 / $750.00	Professional		$649.44	$750.00	$750.00
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 Professional Modifier Low / Median / High Price $1,309.00 / $1,309.00 / $1,309.00	Professional		$1,309.00	$1,309.00	$1,309.00