Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $144.54 / $549.54	Facility		$120.23	$144.54	$549.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $549.54 / $660.69	Professional		$549.54	$549.54	$660.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $549.54 / $1,096.48	Professional		$549.54	$549.54	$1,096.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $524.81 / $4,265.80	Facility		$524.81	$524.81	$4,265.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $549.54 / $630.96	Professional		$549.54	$549.54	$630.96
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $537.03 / $1,995.26	Facility		$151.36	$537.03	$1,995.26
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $1,122.02 / $1,318.26	Professional		$158.49	$1,122.02	$1,318.26
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $549.54 / $575.44	Facility		$549.54	$549.54	$575.44
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $575.44 / $575.44	Professional		$549.54	$575.44	$575.44
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $50,118.72 / $75,857.76	Facility		$3,630.78	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $5,370.32 / $5,370.32 / $5,370.32	Professional		$5,370.32	$5,370.32	$5,370.32
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $194.98 / $2,818.38	Professional		$125.89	$194.98	$2,818.38
Univera Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $549.54 / $616.60	Facility		$549.54	$549.54	$616.60
Univera Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $575.44 / $575.44	Professional		$549.54	$575.44	$575.44