Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,190.44 / $1,237.28 / $1,249.66	Facility		$1,190.44	$1,237.28	$1,249.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,237.28 / $1,237.28 / $1,286.78	Professional		$1,237.28	$1,237.28	$1,286.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $436.79 / $1,237.28 / $1,237.28	Professional		$436.79	$1,237.28	$1,237.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,167.25 / $1,167.25 / $1,428.00	Facility		$1,167.25	$1,167.25	$1,428.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,237.28 / $1,237.28 / $1,237.28	Professional		$1,237.28	$1,237.28	$1,237.28
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,237.28 / $2,626.31	Facility		$319.00	$1,237.28	$2,626.31
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,225.60 / $1,237.28 / $2,126.73	Professional		$1,225.60	$1,237.28	$2,126.73
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,237.28 / $1,237.28 / $1,283.97	Facility		$1,237.28	$1,237.28	$1,283.97
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,237.28 / $1,283.97 / $1,283.97	Professional		$1,237.28	$1,283.97	$1,283.97
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,167.25 / $1,428.00	Facility		$555.00	$1,167.25	$1,428.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,237.28 / $1,237.28 / $1,342.34	Professional		$1,237.28	$1,237.28	$1,342.34
United Facility/Professional Professional Modifier Low / Median / High Price $1,237.28 / $1,237.28 / $1,733.84	Professional		$1,237.28	$1,237.28	$1,733.84
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,283.97 / $1,283.97 / $1,283.97	Facility		$1,283.97	$1,283.97	$1,283.97
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,237.28 / $1,283.97 / $1,283.97	Professional		$1,237.28	$1,283.97	$1,283.97