Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,819.00 / $6,393.00 / $13,229.00	Facility		$1,819.00	$6,393.00	$13,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $878.14 / $1,125.88 / $1,325.67	Professional		$878.14	$1,125.88	$1,325.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,583.00 / $8,007.00 / $16,083.00	Facility		$4,583.00	$8,007.00	$16,083.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $815.58 / $1,034.14 / $2,756.01	Professional		$815.58	$1,034.14	$2,756.01
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,350.00 / $1,372.57 / $4,050.00	Facility		$1,350.00	$1,372.57	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,372.57 / $1,372.57 / $1,372.57	Professional		$1,372.57	$1,372.57	$1,372.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,114.47 / $1,114.47 / $13,296.25	Facility		$1,114.47	$1,114.47	$13,296.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $785.37 / $4,669.52 / $4,669.52	Professional		$785.37	$4,669.52	$4,669.52
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $841.06 / $1,361.59 / $1,764.42	Professional		$841.06	$1,361.59	$1,764.42
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,114.47 / $13,296.25	Facility		$555.00	$1,114.47	$13,296.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,752.71 / $1,752.71 / $2,103.25	Professional		$1,752.71	$1,752.71	$2,103.25
United Facility/Professional Facility Modifier Low / Median / High Price $2,264.00 / $5,735.00 / $11,176.00	Facility		$2,264.00	$5,735.00	$11,176.00
United Facility/Professional Professional Modifier Low / Median / High Price $818.61 / $1,228.46 / $3,141.58	Professional		$818.61	$1,228.46	$3,141.58
Univera Facility/Professional Facility Modifier Low / Median / High Price $841.06 / $841.06 / $990.59	Facility		$841.06	$841.06	$990.59
Univera Facility/Professional Professional Modifier Low / Median / High Price $841.06 / $990.59 / $1,764.42	Professional		$841.06	$990.59	$1,764.42