Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,468.00 / $5,960.00 / $11,415.31	Facility		$2,468.00	$5,960.00	$11,415.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6,839.69 / $10,890.25 / $12,224.76	Professional		$6,839.69	$10,890.25	$12,224.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,989.00 / $10,355.00 / $24,288.00	Facility		$4,989.00	$10,355.00	$24,288.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6,616.82 / $7,784.50 / $13,642.94	Professional		$6,616.82	$7,784.50	$13,642.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,677.77 / $4,677.77 / $7,227.90	Facility		$4,677.77	$4,677.77	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11,282.23 / $11,282.23 / $11,282.23	Professional		$11,282.23	$11,282.23	$11,282.23
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,275.36 / $2,252.94 / $7,670.08	Professional		$1,275.36	$2,252.94	$7,670.08
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $4,677.77 / $74,999.25	Facility		$555.00	$4,677.77	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $11,282.23 / $11,282.23 / $11,282.23	Professional		$11,282.23	$11,282.23	$11,282.23
United Facility/Professional Facility Modifier Low / Median / High Price $2,705.00 / $7,719.00 / $17,688.00	Facility		$2,705.00	$7,719.00	$17,688.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,364.63 / $12,318.73 / $30,000.57	Professional		$1,364.63	$12,318.73	$30,000.57
Univera Facility/Professional Facility Modifier Low / Median / High Price $3,953.64 / $3,953.64 / $3,953.64	Facility		$3,953.64	$3,953.64	$3,953.64
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,985.75 / $3,953.64 / $8,294.16	Professional		$1,985.75	$3,953.64	$8,294.16