Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,902.62 / $1,902.62 / $2,038.50	Facility		$1,902.62	$1,902.62	$2,038.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,902.62 / $1,902.62 / $1,978.73	Professional		$1,902.62	$1,902.62	$1,978.73
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $364.56 / $1,403.08 / $1,902.62	Professional		$364.56	$1,403.08	$1,902.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $162.47 / $1,794.93 / $2,349.92	Facility		$162.47	$1,794.93	$2,349.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,902.62 / $1,902.62 / $1,902.62	Professional		$1,902.62	$1,902.62	$1,902.62
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,902.62 / $4,038.59	Facility		$319.00	$1,902.62	$4,038.59
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,884.68 / $1,902.62 / $3,270.36	Professional		$1,884.68	$1,902.62	$3,270.36
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,902.62 / $1,902.62 / $1,974.42	Facility		$1,902.62	$1,902.62	$1,974.42
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,902.62 / $1,974.42 / $1,974.42	Professional		$1,902.62	$1,974.42	$1,974.42
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $162.47 / $1,794.93 / $2,349.92	Facility		$162.47	$1,794.93	$2,349.92
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,902.62 / $1,902.62 / $2,064.17	Professional		$1,902.62	$1,902.62	$2,064.17
United Facility/Professional Professional Modifier Low / Median / High Price $1,902.62 / $1,902.62 / $2,834.90	Professional		$1,902.62	$1,902.62	$2,834.90
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,974.42 / $1,974.42 / $1,974.42	Facility		$1,974.42	$1,974.42	$1,974.42
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,902.62 / $1,974.42 / $1,974.42	Professional		$1,902.62	$1,974.42	$1,974.42