Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,725.03 / $5,845.00 / $10,686.00	Facility		$1,725.03	$5,845.00	$10,686.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,238.01 / $1,591.64 / $1,848.93	Professional		$1,238.01	$1,591.64	$1,848.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,989.00 / $9,750.00 / $16,411.00	Facility		$4,989.00	$9,750.00	$16,411.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,167.51 / $1,449.85 / $2,597.94	Professional		$1,167.51	$1,449.85	$2,597.94
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,883.60 / $1,883.60 / $37,499.62	Facility		$1,883.60	$1,883.60	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,883.60 / $1,883.60 / $1,883.60	Professional		$1,883.60	$1,883.60	$1,883.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,076.25 / $2,076.25 / $7,227.90	Facility		$2,076.25	$2,076.25	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,837.91 / $8,646.79 / $8,646.79	Professional		$1,837.91	$8,646.79	$8,646.79
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,667.09 / $2,558.44 / $3,404.37	Professional		$1,667.09	$2,558.44	$3,404.37
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $2,076.25 / $74,999.25	Facility		$555.00	$2,076.25	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,837.91 / $8,646.79 / $8,646.79	Professional		$1,837.91	$8,646.79	$8,646.79
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 $1,327.00 / $2,010.78 / $4,449.78	Professional		$1,327.00	$2,010.78	$4,449.78
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,377.94 / $1,754.83 / $1,754.83	Facility		$1,377.94	$1,754.83	$1,754.83
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,377.94 / $1,754.83 / $3,681.37	Professional		$1,377.94	$1,754.83	$3,681.37