Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $855.00 / $1,018.00 / $1,734.00	Facility		$855.00	$1,018.00	$1,734.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $247.20 / $247.20	Professional		$208.93	$247.20	$247.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $172.12 / $202.50 / $413.00	Professional		$172.12	$202.50	$413.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $270.00 / $1,390.00 / $1,680.00	Facility		$270.00	$1,390.00	$1,680.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $300.00 / $300.00 / $475.00	Professional		$300.00	$300.00	$475.00
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $791.93 / $1,737.37	Facility		$425.00	$791.93	$1,737.37
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $200.00 / $330.00 / $633.00	Professional		$200.00	$330.00	$633.00
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $330.52 / $330.52 / $330.52	Facility		$330.52	$330.52	$330.52
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $227.24 / $229.74 / $559.78	Professional		$227.24	$229.74	$559.78
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $270.00 / $873.88 / $1,680.00	Facility		$270.00	$873.88	$1,680.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $300.00 / $300.00 / $475.00	Professional		$300.00	$300.00	$475.00
United Facility/Professional Professional Modifier Low / Median / High Price $243.11 / $320.99 / $407.20	Professional		$243.11	$320.99	$407.20
Univera Facility/Professional Professional Modifier Low / Median / High Price $332.51 / $428.06 / $658.56	Professional		$332.51	$428.06	$658.56