Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $5,370.32 / $10,964.78	Facility		$1,819.70	$5,370.32	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $52.48 / $67.61	Professional		$12.88	$52.48	$67.61
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 $45.71 / $57.54 / $154.88	Professional		$45.71	$57.54	$154.88
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $79.43 / $16,595.87	Facility		$79.43	$79.43	$16,595.87
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Professional		$79.43	$79.43	$79.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $123.03 / $53,703.18	Facility		$123.03	$123.03	$53,703.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $630.96 / $630.96	Professional		$630.96	$630.96	$630.96
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $131.83 / $199.53	Professional		$58.88	$131.83	$199.53
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 $2,398.83 / $5,888.44 / $13,489.63	Facility		$2,398.83	$5,888.44	$13,489.63
United Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $67.61 / $169.82	Professional		$36.31	$67.61	$169.82
Univera Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $58.88 / $316.23	Facility		$58.88	$58.88	$316.23
Univera Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $125.89 / $269.15	Professional		$58.88	$125.89	$269.15