Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,117.80 / $1,377.00 / $1,377.00	Facility		$1,117.80	$1,377.00	$1,377.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,117.80 / $1,328.40 / $1,377.00	Professional		$1,117.80	$1,328.40	$1,377.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $948.40 / $1,064.95 / $2,202.36	Professional		$948.40	$1,064.95	$2,202.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,377.00 / $1,377.00 / $1,377.00	Facility		$1,377.00	$1,377.00	$1,377.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,377.00 / $1,377.00 / $1,377.00	Professional		$1,377.00	$1,377.00	$1,377.00
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,377.00 / $1,377.00 / $2,230.73	Facility		$1,377.00	$1,377.00	$2,230.73
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,239.30 / $1,377.00 / $1,377.00	Professional		$1,239.30	$1,377.00	$1,377.00
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,377.00 / $1,431.00 / $1,431.00	Facility		$1,377.00	$1,431.00	$1,431.00
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,377.00 / $1,377.00 / $1,431.00	Professional		$1,377.00	$1,377.00	$1,431.00
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,377.00 / $1,377.00	Facility		$555.00	$1,377.00	$1,377.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,377.00 / $1,377.00 / $1,377.00	Professional		$1,377.00	$1,377.00	$1,377.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,350.00 / $1,350.00 / $2,025.00	Professional		$1,350.00	$1,350.00	$2,025.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,377.00 / $1,377.00 / $1,377.00	Facility		$1,377.00	$1,377.00	$1,377.00
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,377.00 / $1,377.00 / $1,431.00	Professional		$1,377.00	$1,377.00	$1,431.00