Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,821.00 / $5,700.00 / $10,965.00	Facility		$1,821.00	$5,700.00	$10,965.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,007.42 / $1,657.63 / $7,662.23	Professional		$1,007.42	$1,657.63	$7,662.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,989.00 / $9,750.00 / $16,411.00	Facility		$4,989.00	$9,750.00	$16,411.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $977.10 / $1,176.99 / $2,075.83	Professional		$977.10	$1,176.99	$2,075.83
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,863.12 / $9,430.50 / $28,291.50	Facility		$1,863.12	$9,430.50	$28,291.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,863.12 / $1,863.12 / $1,863.12	Professional		$1,863.12	$1,863.12	$1,863.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,100.55 / $6,100.55 / $7,227.90	Facility		$6,100.55	$6,100.55	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,895.97 / $24,066.31 / $24,066.31	Professional		$3,895.97	$24,066.31	$24,066.31
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,761.29 / $4,856.14 / $7,391.51	Professional		$2,761.29	$4,856.14	$7,391.51
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $6,100.55 / $74,999.25	Facility		$555.00	$6,100.55	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $850.00 / $850.00 / $1,598.38	Professional		$850.00	$850.00	$1,598.38
United Facility/Professional Facility Modifier Low / Median / High Price $2,705.00 / $7,719.00 / $17,688.00	Facility		$2,705.00	$7,719.00	$17,688.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,200.80 / $1,918.76 / $5,176.67	Professional		$1,200.80	$1,918.76	$5,176.67
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,294.17 / $2,906.62 / $2,906.62	Facility		$1,294.17	$2,906.62	$2,906.62
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,294.17 / $2,906.62 / $7,391.51	Professional		$1,294.17	$2,906.62	$7,391.51