Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $871.37 / $1,052.89 / $1,063.42	Facility		$871.37	$1,052.89	$1,063.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,052.89 / $1,052.89 / $1,095.00	Professional		$1,052.89	$1,052.89	$1,095.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $229.80 / $1,052.89 / $1,052.89	Professional		$229.80	$1,052.89	$1,052.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $238.07 / $848.30 / $993.29	Facility		$238.07	$848.30	$993.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,052.89 / $1,052.89 / $1,052.89	Professional		$1,052.89	$1,052.89	$1,052.89
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,052.89 / $2,234.90	Facility		$319.00	$1,052.89	$2,234.90
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,042.95 / $1,052.89 / $1,809.77	Professional		$1,042.95	$1,052.89	$1,809.77
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,052.89 / $1,052.89 / $1,092.61	Facility		$1,052.89	$1,052.89	$1,092.61
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,052.89 / $1,092.61 / $1,092.61	Professional		$1,052.89	$1,092.61	$1,092.61
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $238.07 / $848.30 / $993.29	Facility		$238.07	$848.30	$993.29
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $431.58 / $1,052.89 / $1,052.89	Professional		$431.58	$1,052.89	$1,052.89
United Facility/Professional Professional Modifier Low / Median / High Price $1,052.89 / $1,052.89 / $1,552.57	Professional		$1,052.89	$1,052.89	$1,552.57
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,092.61 / $1,092.61 / $1,092.61	Facility		$1,092.61	$1,092.61	$1,092.61
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,052.89 / $1,092.61 / $1,092.61	Professional		$1,052.89	$1,092.61	$1,092.61