Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $735.05 / $735.05 / $813.21	Facility		$735.05	$735.05	$813.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $735.05 / $735.05 / $764.45	Professional		$735.05	$735.05	$764.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $735.05 / $735.05 / $735.05	Professional		$735.05	$735.05	$735.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $693.44 / $693.44 / $1,887.00	Facility		$693.44	$693.44	$1,887.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $735.05 / $735.05 / $735.05	Professional		$735.05	$735.05	$735.05
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $735.05 / $1,560.24	Facility		$319.00	$735.05	$1,560.24
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $728.11 / $735.05 / $1,310.59	Professional		$728.11	$735.05	$1,310.59
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $735.05 / $735.05 / $762.78	Facility		$735.05	$735.05	$762.78
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $735.05 / $762.78 / $762.78	Professional		$735.05	$762.78	$762.78
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $693.44 / $1,887.00	Facility		$555.00	$693.44	$1,887.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $735.05 / $735.05 / $962.21	Professional		$735.05	$735.05	$962.21
United Facility/Professional Professional Modifier Low / Median / High Price $735.05 / $735.05 / $1,102.58	Professional		$735.05	$735.05	$1,102.58
Univera Facility/Professional Facility Modifier Low / Median / High Price $762.78 / $762.78 / $762.78	Facility		$762.78	$762.78	$762.78
Univera Facility/Professional Professional Modifier Low / Median / High Price $735.05 / $762.78 / $762.78	Professional		$735.05	$762.78	$762.78