Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,987.20 / $2,448.00 / $2,448.00	Facility		$1,987.20	$2,448.00	$2,448.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,987.20 / $2,390.40 / $2,448.00	Professional		$1,987.20	$2,390.40	$2,448.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,304.00 / $2,736.00 / $5,663.52	Professional		$2,304.00	$2,736.00	$5,663.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,448.00 / $2,448.00 / $2,448.00	Facility		$2,448.00	$2,448.00	$2,448.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $396.00 / $396.00 / $396.00	Professional		$396.00	$396.00	$396.00
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $2,448.00 / $2,448.00 / $3,965.76	Facility		$2,448.00	$2,448.00	$3,965.76
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,448.00 / $2,448.00 / $2,448.00	Professional		$2,448.00	$2,448.00	$2,448.00
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,448.00 / $2,544.00 / $2,544.00	Facility		$2,448.00	$2,544.00	$2,544.00
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,448.00 / $2,448.00 / $2,544.00	Professional		$2,448.00	$2,448.00	$2,544.00
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $2,448.00 / $2,448.00	Facility		$555.00	$2,448.00	$2,448.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $396.00 / $396.00 / $396.00	Professional		$396.00	$396.00	$396.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,400.00 / $2,400.00 / $3,600.00	Professional		$2,400.00	$2,400.00	$3,600.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,448.00 / $2,448.00 / $2,448.00	Facility		$2,448.00	$2,448.00	$2,448.00
Univera Facility/Professional Professional Modifier Low / Median / High Price $2,448.00 / $2,448.00 / $2,544.00	Professional		$2,448.00	$2,448.00	$2,544.00