Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $652.66 / $915.09 / $924.24	Facility		$652.66	$915.09	$924.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $915.09 / $915.09 / $951.69	Professional		$915.09	$915.09	$951.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $915.09 / $915.09 / $915.09	Professional		$915.09	$915.09	$915.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $863.29 / $863.29 / $1,417.80	Facility		$863.29	$863.29	$1,417.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $915.09 / $915.09 / $915.09	Professional		$915.09	$915.09	$915.09
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $915.09 / $1,942.40	Facility		$319.00	$915.09	$1,942.40
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $906.45 / $915.09 / $1,572.91	Professional		$906.45	$915.09	$1,572.91
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $915.09 / $915.09 / $949.62	Facility		$915.09	$915.09	$949.62
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $915.09 / $949.62 / $949.62	Professional		$915.09	$949.62	$949.62
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $863.29 / $1,417.80	Facility		$555.00	$863.29	$1,417.80
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $915.09 / $915.09 / $915.09	Professional		$915.09	$915.09	$915.09
United Facility/Professional Professional Modifier Low / Median / High Price $915.09 / $915.09 / $1,404.11	Professional		$915.09	$915.09	$1,404.11
Univera Facility/Professional Facility Modifier Low / Median / High Price $949.62 / $949.62 / $949.62	Facility		$949.62	$949.62	$949.62
Univera Facility/Professional Professional Modifier Low / Median / High Price $915.09 / $949.62 / $949.62	Professional		$915.09	$949.62	$949.62