Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.70 / $981.75 / $8,344.62	Facility		$860.70	$981.75	$8,344.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $796.95 / $958.65 / $1,275.11	Professional		$796.95	$958.65	$1,275.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $476.08 / $476.08 / $595.10	Facility		$476.08	$476.08	$595.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $962.50 / $962.50 / $962.50	Professional		$962.50	$962.50	$962.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $919.28 / $946.85 / $981.75	Facility		$919.28	$946.85	$981.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $981.75 / $981.75 / $981.75	Professional		$981.75	$981.75	$981.75
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,097.25 / $2,468.81	Facility		$319.00	$1,097.25	$2,468.81
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $834.49 / $981.75 / $981.75	Professional		$834.49	$981.75	$981.75
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $981.75 / $1,020.25 / $1,020.25	Facility		$981.75	$1,020.25	$1,020.25
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $981.75 / $1,020.25 / $1,020.25	Professional		$981.75	$1,020.25	$1,020.25
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $946.85 / $981.75	Facility		$597.00	$946.85	$981.75
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $981.75 / $981.75 / $981.75	Professional		$981.75	$981.75	$981.75
United Facility/Professional Professional Modifier Low / Median / High Price $962.50 / $962.50 / $1,348.78	Professional		$962.50	$962.50	$1,348.78
Univera Facility/Professional Facility Modifier Low / Median / High Price $981.75 / $981.75 / $981.75	Facility		$981.75	$981.75	$981.75
Univera Facility/Professional Professional Modifier Low / Median / High Price $981.75 / $981.75 / $1,020.25	Professional		$981.75	$981.75	$1,020.25