Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,332.70 / $4,105.50 / $4,105.50	Facility		$3,332.70	$4,105.50	$4,105.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,332.70 / $3,960.60 / $4,105.50	Professional		$3,332.70	$3,960.60	$4,105.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,968.00 / $2,968.00 / $3,864.00	Professional		$2,968.00	$2,968.00	$3,864.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,640.00 / $4,105.50 / $4,105.50	Facility		$3,640.00	$4,105.50	$4,105.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,105.50 / $4,105.50 / $4,105.50	Professional		$4,105.50	$4,105.50	$4,105.50
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $2,800.00 / $6,300.00	Facility		$319.00	$2,800.00	$6,300.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,737.00 / $2,737.00 / $5,101.60	Professional		$2,737.00	$2,737.00	$5,101.60
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,737.00 / $2,968.00 / $2,968.00	Facility		$2,737.00	$2,968.00	$2,968.00
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,737.00 / $2,737.00 / $2,968.00	Professional		$2,737.00	$2,737.00	$2,968.00
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $4,105.50 / $4,105.50	Facility		$555.00	$4,105.50	$4,105.50
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $4,105.50 / $4,105.50 / $4,105.50	Professional		$4,105.50	$4,105.50	$4,105.50
United Facility/Professional Professional Modifier Low / Median / High Price $3,780.00 / $4,200.00 / $5,885.59	Professional		$3,780.00	$4,200.00	$5,885.59
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,737.00 / $2,737.00 / $2,737.00	Facility		$2,737.00	$2,737.00	$2,737.00
Univera Facility/Professional Professional Modifier Low / Median / High Price $2,737.00 / $2,737.00 / $2,968.00	Professional		$2,737.00	$2,737.00	$2,968.00