Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $828.00 / $1,020.00 / $1,020.00	Facility		$828.00	$1,020.00	$1,020.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $828.00 / $984.00 / $1,020.00	Professional		$828.00	$984.00	$1,020.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.84 / $112.70 / $281.75	Professional		$100.84	$112.70	$281.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,020.00 / $1,020.00 / $1,020.00	Facility		$1,020.00	$1,020.00	$1,020.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,020.00 / $1,020.00 / $1,020.00	Professional		$1,020.00	$1,020.00	$1,020.00
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $849.99 / $849.99 / $1,376.98	Facility		$849.99	$849.99	$1,376.98
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $764.99 / $849.99 / $849.99	Professional		$764.99	$849.99	$849.99
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $849.99 / $849.99 / $849.99	Facility		$849.99	$849.99	$849.99
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $849.99 / $849.99 / $849.99	Professional		$849.99	$849.99	$849.99
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,020.00 / $1,020.00	Facility		$555.00	$1,020.00	$1,020.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,020.00 / $1,020.00 / $1,020.00	Professional		$1,020.00	$1,020.00	$1,020.00
United Facility/Professional Professional Modifier Low / Median / High Price $788.99 / $788.99 / $1,210.63	Professional		$788.99	$788.99	$1,210.63
Univera Facility/Professional Facility Modifier Low / Median / High Price $849.99 / $849.99 / $849.99	Facility		$849.99	$849.99	$849.99
Univera Facility/Professional Professional Modifier Low / Median / High Price $849.99 / $849.99 / $849.99	Professional		$849.99	$849.99	$849.99