Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,819.00 / $6,446.00 / $15,563.00	Facility		$1,819.00	$6,446.00	$15,563.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $415.35 / $677.20 / $738.25	Professional		$415.35	$677.20	$738.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,079.00 / $7,264.00 / $12,538.00	Facility		$4,079.00	$7,264.00	$12,538.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $467.06 / $549.48 / $941.17	Professional		$467.06	$549.48	$941.17
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $792.85 / $792.85 / $37,499.62	Facility		$792.85	$792.85	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $792.85 / $792.85 / $792.85	Professional		$792.85	$792.85	$792.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $943.36 / $943.36 / $7,227.90	Facility		$943.36	$943.36	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $835.14 / $3,434.68 / $3,434.68	Professional		$835.14	$3,434.68	$3,434.68
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $587.29 / $1,016.31 / $1,196.88	Professional		$587.29	$1,016.31	$1,196.88
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $943.36 / $74,999.25	Facility		$555.00	$943.36	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $835.14 / $3,434.68 / $3,434.68	Professional		$835.14	$3,434.68	$3,434.68
United Facility/Professional Facility Modifier Low / Median / High Price $2,846.00 / $14,155.00 / $52,250.00	Facility		$2,846.00	$14,155.00	$52,250.00
United Facility/Professional Professional Modifier Low / Median / High Price $596.33 / $840.78 / $1,969.06	Professional		$596.33	$840.78	$1,969.06
Univera Facility/Professional Facility Modifier Low / Median / High Price $587.29 / $587.29 / $587.29	Facility		$587.29	$587.29	$587.29
Univera Facility/Professional Professional Modifier Low / Median / High Price $587.29 / $899.80 / $1,232.06	Professional		$587.29	$899.80	$1,232.06