Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,819.00 / $6,338.70 / $13,101.00	Facility		$1,819.00	$6,338.70	$13,101.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $763.79 / $1,205.68 / $1,353.20	Professional		$763.79	$1,205.68	$1,353.20
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 $322.12 / $395.81 / $991.12	Professional		$322.12	$395.81	$991.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,227.90 / $13,010.00 / $15,675.00	Facility		$7,227.90	$13,010.00	$15,675.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,274.43 / $5,274.43 / $5,274.43	Professional		$5,274.43	$5,274.43	$5,274.43
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,040.41 / $1,560.61 / $2,076.10	Professional		$1,040.41	$1,560.61	$2,076.10
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $15,675.00 / $15,675.00	Facility		$597.00	$15,675.00	$15,675.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $5,274.43 / $5,274.43 / $5,274.43	Professional		$5,274.43	$5,274.43	$5,274.43
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 $1,092.46 / $1,439.45 / $3,257.56	Professional		$1,092.46	$1,439.45	$3,257.56
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,070.15 / $1,070.15 / $1,070.15	Facility		$1,070.15	$1,070.15	$1,070.15
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,070.15 / $1,619.91 / $2,245.02	Professional		$1,070.15	$1,619.91	$2,245.02