Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $5,888.44 / $12,589.25	Facility		$2,137.96	$5,888.44	$12,589.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,949.84 / $2,187.76	Professional		$1,348.96	$1,949.84	$2,187.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $7,762.47 / $13,803.84	Facility		$4,073.80	$7,762.47	$13,803.84
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 / $37,153.52	Facility		$1,862.09	$1,862.09	$37,153.52
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 / $13,803.84 / $53,703.18	Facility		$7,762.47	$13,803.84	$53,703.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7,413.10 / $38,018.94 / $38,018.94	Professional		$7,413.10	$38,018.94	$38,018.94
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $5,495.41 / $11,748.98	Professional		$1,174.90	$5,495.41	$11,748.98
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 $1,513.56 / $4,168.69 / $9,332.54	Facility		$1,513.56	$4,168.69	$9,332.54
United Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,905.46 / $8,709.64	Professional		$1,148.15	$1,905.46	$8,709.64
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $3,090.30 / $3,090.30	Facility		$1,096.48	$3,090.30	$3,090.30
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $3,090.30 / $11,748.98	Professional		$1,174.90	$3,090.30	$11,748.98