Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,819.00 / $5,298.00 / $10,170.00	Facility		$1,819.00	$5,298.00	$10,170.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $338.18 / $523.66 / $594.25	Professional		$338.18	$523.66	$594.25
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 $375.40 / $441.64 / $756.46	Professional		$375.40	$441.64	$756.46
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $638.03 / $638.03 / $37,499.62	Facility		$638.03	$638.03	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $638.03 / $638.03 / $638.03	Professional		$638.03	$638.03	$638.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $532.00 / $532.00 / $7,227.90	Facility		$532.00	$532.00	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $444.18 / $2,213.92 / $2,213.92	Professional		$444.18	$2,213.92	$2,213.92
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $436.74 / $655.11 / $872.35	Professional		$436.74	$655.11	$872.35
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $532.00 / $597.00 / $74,999.25	Facility		$532.00	$597.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $444.18 / $2,213.92 / $2,213.92	Professional		$444.18	$2,213.92	$2,213.92
United Facility/Professional Facility Modifier Low / Median / High Price $2,964.00 / $9,020.04 / $19,689.00	Facility		$2,964.00	$9,020.04	$19,689.00
United Facility/Professional Professional Modifier Low / Median / High Price $458.56 / $594.29 / $1,493.40	Professional		$458.56	$594.29	$1,493.40
Univera Facility/Professional Facility Modifier Low / Median / High Price $449.66 / $449.66 / $449.66	Facility		$449.66	$449.66	$449.66
Univera Facility/Professional Professional Modifier Low / Median / High Price $449.66 / $680.00 / $943.33	Professional		$449.66	$680.00	$943.33