Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $655.29 / $655.29 / $730.43	Facility		$655.29	$655.29	$730.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $655.29 / $655.29 / $681.51	Professional		$655.29	$655.29	$681.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $460.75 / $655.29 / $1,191.07	Professional		$460.75	$655.29	$1,191.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $618.21 / $618.21 / $1,537.00	Facility		$618.21	$618.21	$1,537.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $655.29 / $655.29 / $655.29	Professional		$655.29	$655.29	$655.29
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $655.29 / $1,390.97	Facility		$319.00	$655.29	$1,390.97
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $557.01 / $655.29 / $1,168.42	Professional		$557.01	$655.29	$1,168.42
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $655.29 / $655.29 / $680.03	Facility		$655.29	$655.29	$680.03
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $655.29 / $680.03 / $680.03	Professional		$655.29	$680.03	$680.03
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $618.21 / $1,537.00	Facility		$555.00	$618.21	$1,537.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $655.29 / $655.29 / $927.31	Professional		$655.29	$655.29	$927.31
United Facility/Professional Professional Modifier Low / Median / High Price $655.29 / $655.29 / $982.95	Professional		$655.29	$655.29	$982.95
Univera Facility/Professional Facility Modifier Low / Median / High Price $680.03 / $680.03 / $680.03	Facility		$680.03	$680.03	$680.03
Univera Facility/Professional Professional Modifier Low / Median / High Price $655.29 / $680.03 / $680.03	Professional		$655.29	$680.03	$680.03