Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $713.50 / $713.50 / $941.46	Facility		$713.50	$713.50	$941.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $713.50 / $713.50 / $742.04	Professional		$713.50	$713.50	$742.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $713.50 / $713.50 / $995.34	Professional		$713.50	$713.50	$995.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $673.11 / $673.11 / $1,351.50	Facility		$673.11	$673.11	$1,351.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $713.50 / $713.50 / $713.50	Professional		$713.50	$713.50	$713.50
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $713.50 / $1,514.50	Facility		$319.00	$713.50	$1,514.50
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $706.77 / $713.50 / $1,231.79	Professional		$706.77	$713.50	$1,231.79
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $969.00 / $1,007.00 / $1,007.00	Facility		$969.00	$1,007.00	$1,007.00
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $969.00 / $969.00 / $1,007.00	Professional		$969.00	$969.00	$1,007.00
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $673.11 / $1,351.50	Facility		$555.00	$673.11	$1,351.50
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $713.50 / $713.50 / $1,261.97	Professional		$713.50	$713.50	$1,261.97
United Facility/Professional Professional Modifier Low / Median / High Price $713.50 / $713.50 / $1,094.79	Professional		$713.50	$713.50	$1,094.79
Univera Facility/Professional Facility Modifier Low / Median / High Price $969.00 / $969.00 / $969.00	Facility		$969.00	$969.00	$969.00
Univera Facility/Professional Professional Modifier Low / Median / High Price $969.00 / $969.00 / $1,007.00	Professional		$969.00	$969.00	$1,007.00