Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,516.00 / $5,845.00 / $10,686.00	Facility		$1,516.00	$5,845.00	$10,686.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $155.21 / $212.82 / $243.21	Professional		$155.21	$212.82	$243.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,393.00 / $4,123.00 / $9,074.00	Facility		$2,393.00	$4,123.00	$9,074.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $159.12 / $201.76 / $375.44	Professional		$159.12	$201.76	$375.44
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $274.27 / $9,430.50 / $28,291.50	Facility		$274.27	$9,430.50	$28,291.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $274.27 / $274.27 / $274.27	Professional		$274.27	$274.27	$274.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $273.41 / $16,167.00 / $31,859.00	Facility		$273.41	$16,167.00	$31,859.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $260.50 / $1,145.96 / $1,145.96	Professional		$260.50	$1,145.96	$1,145.96
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $223.99 / $341.38 / $434.54	Professional		$223.99	$341.38	$434.54
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $273.41 / $597.00 / $74,999.25	Facility		$273.41	$597.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $260.50 / $1,145.96 / $1,145.96	Professional		$260.50	$1,145.96	$1,145.96
United Facility/Professional Professional Modifier Low / Median / High Price $195.75 / $265.14 / $533.12	Professional		$195.75	$265.14	$533.12
Univera Facility/Professional Facility Modifier Low / Median / High Price $223.99 / $223.99 / $223.99	Facility		$223.99	$223.99	$223.99
Univera Facility/Professional Professional Modifier Low / Median / High Price $223.99 / $354.35 / $469.89	Professional		$223.99	$354.35	$469.89