Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $7,413.10 / $16,595.87	Facility		$2,630.27	$7,413.10	$16,595.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $891.25 / $1,096.48	Professional		$630.96	$891.25	$1,096.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $11,481.54 / $26,302.68	Facility		$5,011.87	$11,481.54	$26,302.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $363.08 / $676.08	Professional		$288.40	$363.08	$676.08
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $1,258.93	Facility		$1,258.93	$1,258.93	$1,258.93
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $1,258.93	Professional		$1,258.93	$1,258.93	$1,258.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $53,703.18	Facility		$1,513.56	$1,513.56	$53,703.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $3,981.07 / $3,981.07	Professional		$870.96	$3,981.07	$3,981.07
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $977.24 / $1,659.59	Professional		$630.96	$977.24	$1,659.59
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 $2,818.38 / $15,135.61 / $52,480.75	Facility		$2,818.38	$15,135.61	$52,480.75
United Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,174.90 / $2,630.27	Professional		$812.83	$1,174.90	$2,630.27
Univera Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $776.25 / $776.25	Facility		$776.25	$776.25	$776.25
Univera Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $933.25 / $1,737.80	Professional		$630.96	$933.25	$1,737.80