Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $3,981.07 / $9,332.54	Facility		$1,584.89	$3,981.07	$9,332.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $323.59 / $446.68	Professional		$223.87	$323.59	$446.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $5,888.44 / $12,302.69	Facility		$3,388.44	$5,888.44	$12,302.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $162.18 / $302.00	Professional		$128.82	$162.18	$302.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $426.58 / $16,595.87	Facility		$426.58	$426.58	$16,595.87
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $426.58 / $426.58	Professional		$426.58	$426.58	$426.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $562.34 / $53,703.18	Facility		$562.34	$562.34	$53,703.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $1,584.89 / $1,584.89	Professional		$323.59	$1,584.89	$1,584.89
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $416.87 / $707.95	Professional		$269.15	$416.87	$707.95
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 $1,071.52 / $2,754.23 / $4,897.79	Facility		$1,071.52	$2,754.23	$4,897.79
United Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $363.08 / $776.25	Professional		$275.42	$363.08	$776.25
Univera Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $316.23 / $316.23	Facility		$257.04	$316.23	$316.23
Univera Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $316.23 / $707.95	Professional		$269.15	$316.23	$707.95