Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $144.54 / $1,380.38	Facility		$120.23	$144.54	$1,380.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,380.38 / $1,621.81	Professional		$1,380.38	$1,380.38	$1,621.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,380.38 / $1,380.38	Professional		$1,380.38	$1,380.38	$1,380.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $2,454.71	Facility		$1,318.26	$1,318.26	$2,454.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,380.38 / $1,584.89	Professional		$1,380.38	$1,380.38	$1,584.89
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $537.03 / $2,951.21	Facility		$151.36	$537.03	$2,951.21
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $1,698.24 / $1,995.26	Professional		$158.49	$1,698.24	$1,995.26
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,380.38 / $1,445.44	Facility		$1,380.38	$1,380.38	$1,445.44
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,445.44 / $1,445.44	Professional		$1,380.38	$1,445.44	$1,445.44
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $50,118.72 / $75,857.76	Facility		$2,187.76	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $3,235.94 / $3,235.94 / $3,235.94	Professional		$3,235.94	$3,235.94	$3,235.94
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $194.98 / $2,089.30	Professional		$125.89	$194.98	$2,089.30
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,380.38 / $1,548.82	Facility		$1,380.38	$1,380.38	$1,548.82
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,445.44 / $1,445.44	Professional		$1,380.38	$1,445.44	$1,445.44