Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.78 / $1,035.00 / $2,276.00	Facility		$134.78	$1,035.00	$2,276.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.27 / $135.24 / $193.05	Professional		$108.27	$135.24	$193.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $790.00 / $1,751.00 / $4,671.00	Facility		$790.00	$1,751.00	$4,671.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.60 / $38.00 / $70.00	Professional		$30.60	$38.00	$70.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $64.00 / $64.00	Facility		$64.00	$64.00	$64.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $288.99 / $317.60 / $477.70	Professional		$288.99	$317.60	$477.70
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,162.00 / $1,162.00 / $1,291.00	Facility		$1,162.00	$1,162.00	$1,291.00
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $143.83 / $143.83 / $143.83	Professional		$143.83	$143.83	$143.83
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $64.00 / $74,999.25	Facility		$64.00	$64.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $288.99 / $317.60 / $477.70	Professional		$288.99	$317.60	$477.70
Univera Facility/Professional Facility Modifier Low / Median / High Price $143.83 / $143.83 / $143.83	Facility		$143.83	$143.83	$143.83
Univera Facility/Professional Professional Modifier Low / Median / High Price $143.83 / $143.83 / $143.83	Professional		$143.83	$143.83	$143.83