Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,640.93 / $1,640.93 / $1,657.34	Facility		$1,640.93	$1,640.93	$1,657.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,640.93 / $1,640.93 / $1,706.57	Professional		$1,640.93	$1,640.93	$1,706.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $723.38 / $1,640.93 / $1,864.38	Professional		$723.38	$1,640.93	$1,864.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,548.05 / $1,548.05 / $1,571.96	Facility		$1,548.05	$1,548.05	$1,571.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,640.93 / $1,640.93 / $1,640.93	Professional		$1,640.93	$1,640.93	$1,640.93
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,640.93 / $3,483.11	Facility		$319.00	$1,640.93	$3,483.11
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,548.05 / $1,640.93 / $2,709.09	Professional		$1,548.05	$1,640.93	$2,709.09
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $837.25 / $1,044.09 / $1,044.09	Facility		$837.25	$1,044.09	$1,044.09
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $837.25 / $837.25 / $1,044.09	Professional		$837.25	$837.25	$1,044.09
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,548.05 / $1,571.96	Facility		$555.00	$1,548.05	$1,571.96
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,640.93 / $1,640.93 / $1,780.25	Professional		$1,640.93	$1,640.93	$1,780.25
United Facility/Professional Professional Modifier Low / Median / High Price $1,640.93 / $1,640.93 / $2,461.40	Professional		$1,640.93	$1,640.93	$2,461.40
Univera Facility/Professional Facility Modifier Low / Median / High Price $837.25 / $837.25 / $837.25	Facility		$837.25	$837.25	$837.25
Univera Facility/Professional Professional Modifier Low / Median / High Price $837.25 / $837.25 / $1,044.09	Professional		$837.25	$837.25	$1,044.09