Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.00 / $45.00 / $45.00	Facility		$45.00	$45.00	$45.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $45.00	Professional		$45.00	$45.00	$45.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,078.66 / $1,078.66 / $2,534.85	Professional		$1,078.66	$1,078.66	$2,534.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $379.93 / $379.93 / $379.93	Facility		$379.93	$379.93	$379.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $277.35 / $277.35 / $379.93	Professional		$277.35	$277.35	$379.93
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $929.20 / $1,161.50 / $1,161.50	Professional		$929.20	$1,161.50	$1,161.50
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,161.50 / $1,161.50 / $1,161.50	Facility		$1,161.50	$1,161.50	$1,161.50
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,161.50 / $1,161.50 / $1,161.50	Professional		$1,161.50	$1,161.50	$1,161.50
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $379.93 / $379.93 / $555.00	Facility		$379.93	$379.93	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $277.35 / $277.35 / $379.93	Professional		$277.35	$277.35	$379.93
United Facility/Professional Professional Modifier Low / Median / High Price $4,790.84 / $4,790.84 / $4,790.84	Professional		$4,790.84	$4,790.84	$4,790.84
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,161.50 / $1,161.50 / $1,161.50	Professional		$1,161.50	$1,161.50	$1,161.50