Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,692.14 / $3,692.14 / $3,774.77	Facility		$3,692.14	$3,692.14	$3,774.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,692.14 / $3,692.14 / $3,839.83	Professional		$3,692.14	$3,692.14	$3,839.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $497.61 / $2,001.64 / $3,692.14	Professional		$497.61	$2,001.64	$3,692.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,929.02 / $3,483.15 / $3,483.15	Facility		$2,929.02	$3,483.15	$3,483.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,692.14 / $3,692.14 / $3,692.14	Professional		$3,692.14	$3,692.14	$3,692.14
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $3,692.14 / $7,837.09	Facility		$319.00	$3,692.14	$7,837.09
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,657.31 / $3,692.14 / $6,346.30	Professional		$3,657.31	$3,692.14	$6,346.30
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,692.14 / $3,692.14 / $3,831.47	Facility		$3,692.14	$3,692.14	$3,831.47
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,692.14 / $3,831.47 / $3,831.47	Professional		$3,692.14	$3,831.47	$3,831.47
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $2,929.02 / $3,483.15	Facility		$555.00	$2,929.02	$3,483.15
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $3,692.14 / $3,692.14 / $3,692.14	Professional		$3,692.14	$3,692.14	$3,692.14
United Facility/Professional Professional Modifier Low / Median / High Price $3,692.14 / $3,692.14 / $5,298.26	Professional		$3,692.14	$3,692.14	$5,298.26
Univera Facility/Professional Facility Modifier Low / Median / High Price $3,831.47 / $3,831.47 / $3,831.47	Facility		$3,831.47	$3,831.47	$3,831.47
Univera Facility/Professional Professional Modifier Low / Median / High Price $3,692.14 / $3,831.47 / $3,831.47	Professional		$3,692.14	$3,831.47	$3,831.47