Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $44.67 / $44.67	Facility		$44.67	$44.67	$44.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $44.67 / $44.67	Professional		$44.67	$44.67	$44.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,071.52 / $2,089.30	Professional		$1,071.52	$1,071.52	$2,089.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $70.79 / $50,118.72	Facility		$70.79	$70.79	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $275.42 / $380.19	Professional		$275.42	$275.42	$380.19
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,174.90 / $38,018.94	Professional		$933.25	$1,174.90	$38,018.94
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $1,230.27	Facility		$1,174.90	$1,174.90	$1,230.27
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $1,174.90	Professional		$1,174.90	$1,174.90	$1,174.90
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $50,118.72 / $75,857.76	Facility		$2,511.89	$50,118.72	$75,857.76
United Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $489.78 / $489.78	Facility		$489.78	$489.78	$489.78
United Facility/Professional Professional Modifier Low / Median / High Price $4,786.30 / $4,786.30 / $4,786.30	Professional		$4,786.30	$4,786.30	$4,786.30
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $1,380.38	Facility		$1,174.90	$1,174.90	$1,380.38
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $1,174.90	Professional		$1,174.90	$1,174.90	$1,174.90