Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $144.54 / $1,584.89	Facility		$120.23	$144.54	$1,584.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $1,584.89 / $1,737.80	Professional		$616.60	$1,584.89	$1,737.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $1,584.89 / $1,584.89	Professional		$141.25	$1,584.89	$1,584.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $2,818.38	Facility		$1,513.56	$1,513.56	$2,818.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,584.89 / $1,819.70	Professional		$1,584.89	$1,584.89	$1,819.70
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $537.03 / $3,801.89	Facility		$151.36	$537.03	$3,801.89
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $1,659.59 / $2,570.40	Professional		$162.18	$1,659.59	$2,570.40
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $1,584.89 / $1,659.59	Facility		$1,584.89	$1,584.89	$1,659.59
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,659.59 / $1,659.59	Professional		$1,584.89	$1,659.59	$1,659.59
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $50,118.72 / $75,857.76	Facility		$2,137.96	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $3,090.30 / $3,090.30	Professional		$3,090.30	$3,090.30	$3,090.30
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $194.98 / $2,691.53	Professional		$125.89	$194.98	$2,691.53
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $1,584.89 / $1,737.80	Facility		$1,584.89	$1,584.89	$1,737.80
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,659.59 / $1,659.59	Professional		$1,584.89	$1,659.59	$1,659.59