Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $5,370.32 / $11,481.54	Facility		$2,290.87	$5,370.32	$11,481.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,862.09 / $2,344.23	Professional		$1,096.48	$1,862.09	$2,344.23
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 $1,698.24 / $2,089.30 / $3,801.89	Professional		$1,698.24	$2,089.30	$3,801.89
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $2,630.27 / $16,595.87	Facility		$2,630.27	$2,630.27	$16,595.87
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $2,630.27 / $2,630.27	Professional		$2,630.27	$2,630.27	$2,630.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $2,691.53 / $53,703.18	Facility		$2,691.53	$2,691.53	$53,703.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $7,585.78 / $7,585.78	Professional		$1,548.82	$7,585.78	$7,585.78
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $2,238.72 / $2,754.23	Professional		$1,318.26	$2,238.72	$2,754.23
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 / $5,128.61 / $11,481.54	Facility		$2,398.83	$5,128.61	$11,481.54
United Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,454.71 / $5,623.41	Professional		$1,698.24	$2,454.71	$5,623.41
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $1,318.26	Facility		$1,318.26	$1,318.26	$1,318.26
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $2,041.74 / $2,951.21	Professional		$1,318.26	$2,041.74	$2,951.21