Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $478.63 / $1,071.52	Facility		$416.87	$478.63	$1,071.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $501.19 / $549.54	Professional		$478.63	$501.19	$549.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $851.14 / $1,548.82	Facility		$851.14	$851.14	$1,548.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $501.19 / $501.19	Professional		$501.19	$501.19	$501.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $954.99 / $50,118.72	Facility		$512.86	$954.99	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $512.86 / $512.86	Professional		$512.86	$512.86	$512.86
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $512.86 / $870.96	Facility		$512.86	$512.86	$870.96
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $512.86 / $512.86	Professional		$436.52	$512.86	$512.86
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $524.81 / $524.81	Facility		$512.86	$524.81	$524.81
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $512.86 / $524.81	Professional		$512.86	$512.86	$524.81
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $50,118.72 / $53,703.18 / $75,857.76	Facility		$50,118.72	$53,703.18	$75,857.76
United Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $501.19 / $660.69	Professional		$489.78	$501.19	$660.69
Univera Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $524.81 / $524.81	Facility		$512.86	$524.81	$524.81
Univera Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $512.86 / $524.81	Professional		$512.86	$512.86	$524.81