Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $636.87 / $738.40 / $1,655.86	Facility		$636.87	$738.40	$1,655.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $636.87 / $784.55 / $910.00	Professional		$636.87	$784.55	$910.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $398.94 / $398.94 / $498.67	Facility		$398.94	$398.94	$498.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $699.55 / $769.17 / $769.17	Professional		$699.55	$769.17	$769.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.35 / $39.50 / $784.55	Facility		$38.35	$39.50	$784.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $784.55 / $784.55 / $784.55	Professional		$784.55	$784.55	$784.55
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $38,249.62 / $38,249.62 / $38,249.62	Professional		$38,249.62	$38,249.62	$38,249.62
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,707.30 / $4,891.89 / $4,891.89	Facility		$4,707.30	$4,891.89	$4,891.89
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,707.30 / $4,891.89 / $4,891.89	Professional		$4,707.30	$4,891.89	$4,891.89
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $39.50 / $39.50 / $784.55	Facility		$39.50	$39.50	$784.55
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $784.55 / $784.55 / $784.55	Professional		$784.55	$784.55	$784.55
United Facility/Professional Professional Modifier Low / Median / High Price $769.17 / $769.17 / $1,038.26	Professional		$769.17	$769.17	$1,038.26
Univera Facility/Professional Facility Modifier Low / Median / High Price $4,707.30 / $4,707.30 / $4,707.30	Facility		$4,707.30	$4,707.30	$4,707.30
Univera Facility/Professional Professional Modifier Low / Median / High Price $4,707.30 / $4,707.30 / $4,891.89	Professional		$4,707.30	$4,707.30	$4,891.89