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 $254.59 / $397.95 / $451.55	Professional		$254.59	$397.95	$451.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,568.00 / $7,608.00 / $14,193.00	Facility		$4,568.00	$7,608.00	$14,193.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $287.14 / $337.81 / $578.62	Professional		$287.14	$337.81	$578.62
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $485.29 / $485.29 / $37,499.62	Facility		$485.29	$485.29	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $485.29 / $485.29 / $485.29	Professional		$485.29	$485.29	$485.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $426.41 / $426.41 / $7,227.90	Facility		$426.41	$426.41	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $329.78 / $1,643.28 / $1,643.28	Professional		$329.78	$1,643.28	$1,643.28
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $324.14 / $486.21 / $699.17	Professional		$324.14	$486.21	$699.17
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $426.41 / $597.00 / $74,999.25	Facility		$426.41	$597.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $329.78 / $1,643.28 / $1,643.28	Professional		$329.78	$1,643.28	$1,643.28
United Facility/Professional Facility Modifier Low / Median / High Price $2,264.00 / $5,248.00 / $11,176.00	Facility		$2,264.00	$5,248.00	$11,176.00
United Facility/Professional Professional Modifier Low / Median / High Price $324.13 / $439.71 / $1,038.94	Professional		$324.13	$439.71	$1,038.94
Univera Facility/Professional Facility Modifier Low / Median / High Price $360.40 / $360.40 / $360.40	Facility		$360.40	$360.40	$360.40
Univera Facility/Professional Professional Modifier Low / Median / High Price $360.40 / $504.69 / $756.06	Professional		$360.40	$504.69	$756.06