Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,355.13 / $3,505.10 / $19,200.00	Facility		$3,355.13	$3,505.10	$19,200.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,355.13 / $13,248.00 / $16,320.00	Professional		$3,355.13	$13,248.00	$16,320.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.03 / $16,960.00 / $38,244.80	Professional		$0.03	$16,960.00	$38,244.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16,320.00 / $16,960.00 / $17,992.86	Facility		$16,320.00	$16,960.00	$17,992.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16,320.00 / $16,960.00 / $16,960.13	Professional		$16,320.00	$16,960.00	$16,960.13
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $19,200.00 / $30,720.00	Facility		$319.00	$19,200.00	$30,720.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $10,560.00 / $16,960.00 / $28,800.00	Professional		$10,560.00	$16,960.00	$28,800.00
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $17,920.00 / $17,920.00 / $17,920.00	Professional		$17,920.00	$17,920.00	$17,920.00
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $16,960.00 / $17,992.86	Facility		$597.00	$16,960.00	$17,992.86
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $5,150.00 / $16,320.00 / $16,960.13	Professional		$5,150.00	$16,320.00	$16,960.13
United Facility/Professional Professional Modifier Low / Median / High Price $7,680.00 / $19,200.00 / $21,120.00	Professional		$7,680.00	$19,200.00	$21,120.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $17,920.00 / $17,920.00 / $17,920.00	Facility		$17,920.00	$17,920.00	$17,920.00
Univera Facility/Professional Professional Modifier Low / Median / High Price $17,920.00 / $17,920.00 / $17,920.00	Professional		$17,920.00	$17,920.00	$17,920.00