Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,318.91 / $6,962.00 / $16,300.00	Facility		$2,318.91	$6,962.00	$16,300.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,260.83 / $2,239.69 / $2,575.02	Professional		$1,260.83	$2,239.69	$2,575.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,040.00 / $10,294.00 / $19,351.80	Facility		$5,040.00	$10,294.00	$19,351.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,480.11 / $1,741.31 / $2,964.09	Professional		$1,480.11	$1,741.31	$2,964.09
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,740.00 / $2,740.00 / $2,740.00	Facility		$2,740.00	$2,740.00	$2,740.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,740.00 / $2,740.00 / $2,740.00	Professional		$2,740.00	$2,740.00	$2,740.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,881.98 / $1,881.98 / $7,227.90	Facility		$1,881.98	$1,881.98	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7,243.59 / $7,243.59 / $7,243.59	Professional		$7,243.59	$7,243.59	$7,243.59
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,511.13 / $2,143.32 / $3,085.89	Professional		$1,511.13	$2,143.32	$3,085.89
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,881.98 / $74,999.25	Facility		$555.00	$1,881.98	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $7,243.59 / $7,243.59 / $7,243.59	Professional		$7,243.59	$7,243.59	$7,243.59
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 $1,718.88 / $2,484.55 / $5,880.30	Professional		$1,718.88	$2,484.55	$5,880.30
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,590.67 / $1,590.67 / $1,961.67	Facility		$1,590.67	$1,590.67	$1,961.67
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,590.67 / $1,961.67 / $3,336.98	Professional		$1,590.67	$1,961.67	$3,336.98