Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $7,244.36 / $16,218.10	Facility		$2,630.27	$7,244.36	$16,218.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,949.84 / $2,290.87	Professional		$1,348.96	$1,949.84	$2,290.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $11,481.54 / $20,892.96	Facility		$5,011.87	$11,481.54	$20,892.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,258.93 / $2,238.72	Professional		$1,023.29	$1,258.93	$2,238.72
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $2,570.40 / $2,570.40	Facility		$2,570.40	$2,570.40	$2,570.40
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $2,570.40 / $2,570.40	Professional		$2,570.40	$2,570.40	$2,570.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,762.47 / $21,877.62 / $53,703.18	Facility		$7,762.47	$21,877.62	$53,703.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10,232.93 / $10,232.93 / $10,232.93	Professional		$10,232.93	$10,232.93	$10,232.93
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $3,090.30 / $4,365.16	Professional		$1,659.59	$3,090.30	$4,365.16
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 $1,513.56 / $4,168.69 / $9,332.54	Facility		$1,513.56	$4,168.69	$9,332.54
United Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,511.89 / $5,495.41	Professional		$1,737.80	$2,511.89	$5,495.41
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $2,089.30 / $2,089.30	Facility		$1,548.82	$2,089.30	$2,089.30
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,089.30 / $4,365.16	Professional		$1,659.59	$2,089.30	$4,365.16