Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,275.94 / $6,962.00 / $16,300.00	Facility		$2,275.94	$6,962.00	$16,300.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,140.13 / $2,079.05 / $2,359.17	Professional		$1,140.13	$2,079.05	$2,359.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,016.00 / $10,830.00 / $26,158.00	Facility		$5,016.00	$10,830.00	$26,158.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,480.11 / $1,741.31 / $2,982.52	Professional		$1,480.11	$1,741.31	$2,982.52
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,535.09 / $2,535.09 / $37,499.62	Facility		$2,535.09	$2,535.09	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,535.09 / $2,535.09 / $2,535.09	Professional		$2,535.09	$2,535.09	$2,535.09
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 $1,008.14 / $6,983.22 / $6,983.22	Professional		$1,008.14	$6,983.22	$6,983.22
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,246.08 / $2,066.21 / $2,433.31	Professional		$1,246.08	$2,066.21	$2,433.31
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $1,474.28 / $18,211.00 / $32,297.00	Facility		$1,474.28	$18,211.00	$32,297.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,008.14 / $6,983.22 / $6,983.22	Professional		$1,008.14	$6,983.22	$6,983.22
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 $1,146.71 / $2,297.44 / $5,440.82	Professional		$1,146.71	$2,297.44	$5,440.82
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,246.08 / $1,246.08 / $1,246.08	Facility		$1,246.08	$1,246.08	$1,246.08
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,246.08 / $1,909.15 / $2,614.12	Professional		$1,246.08	$1,909.15	$2,614.12