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 $1,023.29 / $1,819.70 / $2,290.87	Professional		$1,023.29	$1,819.70	$2,290.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $11,748.98 / $26,302.68	Facility		$5,011.87	$11,748.98	$26,302.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,819.70 / $3,311.31	Professional		$1,479.11	$1,819.70	$3,311.31
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $2,511.89 / $37,153.52	Facility		$2,511.89	$2,511.89	$37,153.52
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $2,511.89 / $2,511.89	Professional		$2,511.89	$2,511.89	$2,511.89
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 $977.24 / $6,918.31 / $6,918.31	Professional		$977.24	$6,918.31	$6,918.31
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $2,089.30 / $2,630.27	Professional		$1,258.93	$2,089.30	$2,630.27
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 $1,000.00 / $2,290.87 / $5,370.32	Professional		$1,000.00	$2,290.87	$5,370.32
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $1,258.93	Facility		$1,258.93	$1,258.93	$1,258.93
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,905.46 / $2,754.23	Professional		$1,258.93	$1,905.46	$2,754.23