Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,165.39 / $1,172.56 / $1,184.28	Facility		$1,165.39	$1,172.56	$1,184.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,172.56 / $1,172.56 / $1,219.46	Professional		$1,172.56	$1,172.56	$1,219.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $148.90 / $1,172.56 / $1,172.56	Professional		$148.90	$1,172.56	$1,172.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $115.54 / $1,106.19 / $1,192.50	Facility		$115.54	$1,106.19	$1,192.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,172.56 / $1,172.56 / $1,172.56	Professional		$1,172.56	$1,172.56	$1,172.56
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,172.56 / $2,488.92	Facility		$319.00	$1,172.56	$2,488.92
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $996.68 / $1,172.56 / $2,015.48	Professional		$996.68	$1,172.56	$2,015.48
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,172.56 / $1,172.56 / $1,216.81	Facility		$1,172.56	$1,172.56	$1,216.81
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,172.56 / $1,216.81 / $1,216.81	Professional		$1,172.56	$1,216.81	$1,216.81
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $115.54 / $1,106.19 / $1,192.50	Facility		$115.54	$1,106.19	$1,192.50
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,172.56 / $1,172.56 / $1,272.10	Professional		$1,172.56	$1,172.56	$1,272.10
United Facility/Professional Professional Modifier Low / Median / High Price $1,172.56 / $1,172.56 / $1,729.03	Professional		$1,172.56	$1,172.56	$1,729.03
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,216.81 / $1,216.81 / $1,216.81	Facility		$1,216.81	$1,216.81	$1,216.81
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,172.56 / $1,216.81 / $1,216.81	Professional		$1,172.56	$1,216.81	$1,216.81