Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,817.98 / $5,324.00 / $11,080.00	Facility		$1,817.98	$5,324.00	$11,080.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $852.14 / $1,213.32 / $1,522.93	Professional		$852.14	$1,213.32	$1,522.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,749.00 / $9,877.00 / $16,490.00	Facility		$4,749.00	$9,877.00	$16,490.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,770.83 / $2,083.33 / $3,546.28	Professional		$1,770.83	$2,083.33	$3,546.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,339.50 / $1,339.50 / $1,339.50	Facility		$1,339.50	$1,339.50	$1,339.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,578.48 / $5,578.48 / $5,578.48	Professional		$5,578.48	$5,578.48	$5,578.48
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,100.40 / $1,100.40 / $1,100.40	Facility		$1,100.40	$1,100.40	$1,100.40
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $962.33 / $1,650.60 / $2,496.42	Professional		$962.33	$1,650.60	$2,496.42
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $1,339.50	Facility		$555.00	$597.00	$1,339.50
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $5,578.48 / $5,578.48 / $5,578.48	Professional		$5,578.48	$5,578.48	$5,578.48
United Facility/Professional Facility Modifier Low / Median / High Price $2,444.00 / $8,115.00 / $18,487.00	Facility		$2,444.00	$8,115.00	$18,487.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,101.13 / $1,607.23 / $4,057.06	Professional		$1,101.13	$1,607.23	$4,057.06
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,100.40 / $1,415.19 / $1,415.19	Facility		$1,100.40	$1,415.19	$1,415.19
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,100.40 / $1,583.38 / $2,991.49	Professional		$1,100.40	$1,583.38	$2,991.49