Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $619.28 / $762.88 / $762.88	Facility		$619.28	$762.88	$762.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $619.28 / $744.93 / $762.88	Professional		$619.28	$744.93	$762.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $718.00 / $852.63 / $919.55	Professional		$718.00	$852.63	$919.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $762.88 / $762.88 / $975.55	Facility		$762.88	$762.88	$975.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $762.88 / $762.88 / $762.88	Professional		$762.88	$762.88	$762.88
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $935.00 / $1,951.88	Facility		$319.00	$935.00	$1,951.88
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $935.00 / $935.00 / $1,057.48	Professional		$935.00	$935.00	$1,057.48
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $935.00 / $935.00 / $935.00	Facility		$935.00	$935.00	$935.00
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $935.00 / $935.00 / $935.00	Professional		$935.00	$935.00	$935.00
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $762.88 / $975.55	Facility		$555.00	$762.88	$975.55
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $762.88 / $762.88 / $762.88	Professional		$762.88	$762.88	$762.88
United Facility/Professional Professional Modifier Low / Median / High Price $1,997.50 / $1,997.50 / $2,887.65	Professional		$1,997.50	$1,997.50	$2,887.65
Univera Facility/Professional Facility Modifier Low / Median / High Price $328.98 / $935.00 / $935.00	Facility		$328.98	$935.00	$935.00
Univera Facility/Professional Professional Modifier Low / Median / High Price $935.00 / $935.00 / $935.00	Professional		$935.00	$935.00	$935.00