Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,231.29 / $6,962.00 / $16,300.00	Facility		$2,231.29	$6,962.00	$16,300.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,353.10 / $2,088.89 / $2,408.60	Professional		$1,353.10	$2,088.89	$2,408.60
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 $1,014.82 / $1,246.97 / $2,032.29	Professional		$1,014.82	$1,246.97	$2,032.29
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,564.53 / $2,564.53 / $2,564.53	Facility		$2,564.53	$2,564.53	$2,564.53
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,564.53 / $2,564.53 / $2,564.53	Professional		$2,564.53	$2,564.53	$2,564.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,227.90 / $21,417.00 / $59,610.00	Facility		$7,227.90	$21,417.00	$59,610.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10,269.78 / $10,269.78 / $10,269.78	Professional		$10,269.78	$10,269.78	$10,269.78
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,847.35 / $3,059.82 / $4,071.61	Professional		$1,847.35	$3,059.82	$4,071.61
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $2,621.75 / $18,211.00 / $32,297.00	Facility		$2,621.75	$18,211.00	$32,297.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $10,269.78 / $10,269.78 / $10,269.78	Professional		$10,269.78	$10,269.78	$10,269.78
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 $1,934.73 / $2,487.51 / $5,715.71	Professional		$1,934.73	$2,487.51	$5,715.71
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,842.60 / $2,098.77 / $2,098.77	Facility		$1,842.60	$2,098.77	$2,098.77
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,842.60 / $2,098.77 / $4,402.89	Professional		$1,842.60	$2,098.77	$4,402.89