Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,023.29 / $2,884.03	Facility		$891.25	$1,023.29	$2,884.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $1,047.13 / $1,122.02	Professional		$537.03	$1,047.13	$1,122.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $831.76 / $1,380.38	Professional		$645.65	$831.76	$1,380.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $2,344.23 / $2,691.53	Facility		$691.83	$2,344.23	$2,691.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $562.34 / $851.14	Professional		$75.86	$562.34	$851.14
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $2,754.23 / $4,897.79	Facility		$2,754.23	$2,754.23	$4,897.79
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $831.76 / $1,122.02	Professional		$199.53	$831.76	$1,122.02
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $512.86 / $1,513.56	Professional		$512.86	$512.86	$1,513.56
United Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $676.08 / $1,148.15	Professional		$346.74	$676.08	$1,148.15
Univera Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $331.13 / $331.13	Facility		$331.13	$331.13	$331.13
Univera Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $512.86 / $1,513.56	Professional		$512.86	$512.86	$1,513.56