Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $2,511.89 / $3,715.35	Facility		$1,096.48	$2,511.89	$3,715.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,047.13 / $1,412.54	Professional		$724.44	$1,047.13	$1,412.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $426.58 / $1,348.96	Professional		$426.58	$426.58	$1,348.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,862.09 / $4,786.30	Facility		$870.96	$1,862.09	$4,786.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $6,456.54 / $6,456.54	Professional		$1,348.96	$6,456.54	$6,456.54
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $2,187.76 / $5,128.61	Facility		$1,348.96	$2,187.76	$5,128.61
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,819.70 / $2,570.40	Professional		$1,412.54	$1,819.70	$2,570.40
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,318.26 / $2,398.83	Professional		$1,122.02	$1,318.26	$2,398.83
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $2,511.89 / $50,118.72	Facility		$1,737.80	$2,511.89	$50,118.72
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $1,380.38	Professional		$1,348.96	$1,348.96	$1,380.38
United Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,348.96 / $1,621.81	Facility		$1,202.26	$1,348.96	$1,621.81
United Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $794.33 / $1,778.28	Professional		$562.34	$794.33	$1,778.28
Univera Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,348.96 / $1,548.82	Facility		$794.33	$1,348.96	$1,548.82
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,348.96 / $2,630.27	Professional		$1,122.02	$1,348.96	$2,630.27