Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,035.00 / $1,275.00 / $1,275.00	Facility		$1,035.00	$1,275.00	$1,275.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,035.00 / $1,230.00 / $1,275.00	Professional		$1,035.00	$1,230.00	$1,275.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,140.00 / $2,405.40	Professional		$1,000.00	$1,140.00	$2,405.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,275.00 / $1,275.00 / $1,275.00	Facility		$1,275.00	$1,275.00	$1,275.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,275.00 / $1,275.00 / $1,275.00	Professional		$1,275.00	$1,275.00	$1,275.00
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,020.00 / $1,020.00 / $1,652.40	Facility		$1,020.00	$1,020.00	$1,652.40
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $918.00 / $1,020.00 / $1,020.00	Professional		$918.00	$1,020.00	$1,020.00
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,020.00 / $1,060.00 / $1,060.00	Facility		$1,020.00	$1,060.00	$1,060.00
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,020.00 / $1,020.00 / $1,060.00	Professional		$1,020.00	$1,020.00	$1,060.00
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,275.00 / $1,275.00	Facility		$555.00	$1,275.00	$1,275.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,275.00 / $1,275.00 / $1,275.00	Professional		$1,275.00	$1,275.00	$1,275.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,250.00 / $1,250.00 / $1,751.66	Professional		$1,250.00	$1,250.00	$1,751.66
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,020.00 / $1,020.00 / $1,020.00	Facility		$1,020.00	$1,020.00	$1,020.00
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,020.00 / $1,020.00 / $1,060.00	Professional		$1,020.00	$1,020.00	$1,060.00