Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $1,047.13 / $1,047.13	Facility		$120.23	$1,047.13	$1,047.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,148.15	Professional		$1,047.13	$1,047.13	$1,148.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $1,047.13 / $1,047.13	Professional		$275.42	$1,047.13	$1,047.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $1,000.00 / $1,412.54	Facility		$239.88	$1,000.00	$1,412.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,148.15	Professional		$1,047.13	$1,047.13	$1,148.15
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $537.03 / $1,258.93	Facility		$151.36	$537.03	$1,258.93
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $724.44 / $851.14	Professional		$158.49	$724.44	$851.14
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,096.48	Facility		$1,047.13	$1,047.13	$1,096.48
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,096.48 / $1,096.48	Professional		$1,047.13	$1,096.48	$1,096.48
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $50,118.72 / $75,857.76	Facility		$1,122.02	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $1,659.59	Professional		$1,659.59	$1,659.59	$1,659.59
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $190.55 / $1,000.00	Professional		$125.89	$190.55	$1,000.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,174.90	Facility		$1,047.13	$1,047.13	$1,174.90
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,096.48 / $1,096.48	Professional		$1,047.13	$1,096.48	$1,096.48