Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,961.00 / $1,961.00 / $1,980.61	Facility		$1,961.00	$1,961.00	$1,980.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,961.00 / $1,961.00 / $2,039.44	Professional		$1,961.00	$1,961.00	$2,039.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,961.00 / $1,961.00 / $1,961.00	Professional		$1,961.00	$1,961.00	$1,961.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,850.00 / $1,850.00 / $2,040.00	Facility		$1,850.00	$1,850.00	$2,040.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,961.00 / $1,961.00 / $1,961.00	Professional		$1,961.00	$1,961.00	$1,961.00
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,961.00 / $4,162.50	Facility		$319.00	$1,961.00	$4,162.50
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,942.50 / $1,961.00 / $3,370.70	Professional		$1,942.50	$1,961.00	$3,370.70
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,961.00 / $1,961.00 / $2,035.00	Facility		$1,961.00	$1,961.00	$2,035.00
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,961.00 / $2,035.00 / $2,035.00	Professional		$1,961.00	$2,035.00	$2,035.00
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,850.00 / $2,040.00	Facility		$555.00	$1,850.00	$2,040.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,961.00 / $1,961.00 / $2,127.50	Professional		$1,961.00	$1,961.00	$2,127.50
United Facility/Professional Professional Modifier Low / Median / High Price $1,961.00 / $1,961.00 / $2,941.50	Professional		$1,961.00	$1,961.00	$2,941.50
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,035.00 / $2,035.00 / $2,035.00	Facility		$2,035.00	$2,035.00	$2,035.00
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,961.00 / $2,035.00 / $2,035.00	Professional		$1,961.00	$2,035.00	$2,035.00