Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,819.00 / $5,960.00 / $12,051.00	Facility		$1,819.00	$5,960.00	$12,051.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $538.61 / $900.15 / $1,010.47	Professional		$538.61	$900.15	$1,010.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,989.00 / $9,750.00 / $16,411.00	Facility		$4,989.00	$9,750.00	$16,411.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $305.80 / $359.77 / $612.41	Professional		$305.80	$359.77	$612.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $441.77 / $441.77 / $7,227.90	Facility		$441.77	$441.77	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,727.49 / $1,727.49 / $1,727.49	Professional		$1,727.49	$1,727.49	$1,727.49
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $317.38 / $511.17 / $724.36	Professional		$317.38	$511.17	$724.36
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $441.77 / $597.00 / $74,999.25	Facility		$441.77	$597.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,727.49 / $1,727.49 / $1,727.49	Professional		$1,727.49	$1,727.49	$1,727.49
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 $432.85 / $1,028.93 / $2,652.31	Professional		$432.85	$1,028.93	$2,652.31
Univera Facility/Professional Facility Modifier Low / Median / High Price $496.60 / $496.60 / $496.60	Facility		$496.60	$496.60	$496.60
Univera Facility/Professional Professional Modifier Low / Median / High Price $317.38 / $530.59 / $823.32	Professional		$317.38	$530.59	$823.32