Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,819.00 / $6,050.00 / $12,075.00	Facility		$1,819.00	$6,050.00	$12,075.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,657.63 / $2,162.54 / $2,162.54	Professional		$1,657.63	$2,162.54	$2,162.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,079.00 / $7,264.00 / $12,538.00	Facility		$4,079.00	$7,264.00	$12,538.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $977.10 / $1,176.99 / $2,011.16	Professional		$977.10	$1,176.99	$2,011.16
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,862.65 / $1,862.65 / $37,499.62	Facility		$1,862.65	$1,862.65	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,862.65 / $1,862.65 / $1,862.65	Professional		$1,862.65	$1,862.65	$1,862.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,227.90 / $7,227.90 / $9,138.18	Facility		$7,227.90	$7,227.90	$9,138.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7,683.30 / $38,296.19 / $38,296.19	Professional		$7,683.30	$38,296.19	$38,296.19
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,897.60 / $5,944.59 / $11,761.99	Professional		$2,897.60	$5,944.59	$11,761.99
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $7,227.90 / $74,999.25	Facility		$555.00	$7,227.90	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $450.00 / $450.00 / $1,452.14	Professional		$450.00	$450.00	$1,452.14
United Facility/Professional Facility Modifier Low / Median / High Price $1,749.00 / $4,194.00 / $9,300.00	Facility		$1,749.00	$4,194.00	$9,300.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,196.36 / $1,910.66 / $8,897.32	Professional		$1,196.36	$1,910.66	$8,897.32
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,293.26 / $3,064.22 / $3,064.22	Facility		$1,293.26	$3,064.22	$3,064.22
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,293.26 / $3,064.22 / $11,761.99	Professional		$1,293.26	$3,064.22	$11,761.99