Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $5,370.32 / $12,022.64	Facility		$2,290.87	$5,370.32	$12,022.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,949.84 / $7,585.78	Professional		$1,000.00	$1,949.84	$7,585.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $11,220.18 / $19,054.61	Facility		$5,011.87	$11,220.18	$19,054.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,202.26 / $2,187.76	Professional		$977.24	$1,202.26	$2,187.76
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $1,862.09 / $28,183.83	Facility		$1,862.09	$1,862.09	$28,183.83
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $1,862.09 / $1,862.09	Professional		$1,862.09	$1,862.09	$1,862.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,762.47 / $8,511.38 / $53,703.18	Facility		$7,762.47	$8,511.38	$53,703.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,235.94 / $23,988.33 / $23,988.33	Professional		$3,235.94	$23,988.33	$23,988.33
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $4,786.30 / $7,413.10	Professional		$1,174.90	$4,786.30	$7,413.10
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $50,118.72 / $53,703.18 / $75,857.76	Facility		$50,118.72	$53,703.18	$75,857.76
United Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $8,128.31 / $20,417.38	Facility		$2,818.38	$8,128.31	$20,417.38
United Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,905.46 / $5,011.87	Professional		$1,148.15	$1,905.46	$5,011.87
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $2,884.03 / $2,884.03	Facility		$1,096.48	$2,884.03	$2,884.03
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $2,884.03 / $7,413.10	Professional		$1,174.90	$2,884.03	$7,413.10