Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,817.98 / $4,911.00 / $10,170.00	Facility		$1,817.98	$4,911.00	$10,170.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $625.20 / $893.73 / $1,105.05	Professional		$625.20	$893.73	$1,105.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,373.00 / $4,085.00 / $8,281.00	Facility		$2,373.00	$4,085.00	$8,281.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $251.71 / $886.38 / $1,066.27	Professional		$251.71	$886.38	$1,066.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,039.25 / $1,039.25 / $10,297.11	Facility		$1,039.25	$1,039.25	$10,297.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,328.07 / $4,328.07 / $4,328.07	Professional		$4,328.07	$4,328.07	$4,328.07
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $853.77 / $853.77 / $853.77	Facility		$853.77	$853.77	$853.77
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $853.77 / $1,233.70 / $1,905.21	Professional		$853.77	$1,233.70	$1,905.21
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $1,039.25 / $10,297.11	Facility		$597.00	$1,039.25	$10,297.11
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $4,328.07 / $4,328.07 / $4,328.07	Professional		$4,328.07	$4,328.07	$4,328.07
United Facility/Professional Facility Modifier Low / Median / High Price $1,269.00 / $3,612.00 / $8,133.00	Facility		$1,269.00	$3,612.00	$8,133.00
United Facility/Professional Professional Modifier Low / Median / High Price $759.85 / $1,071.11 / $2,442.61	Professional		$759.85	$1,071.11	$2,442.61
Univera Facility/Professional Facility Modifier Low / Median / High Price $853.77 / $878.39 / $878.39	Facility		$853.77	$878.39	$878.39
Univera Facility/Professional Professional Modifier Low / Median / High Price $878.39 / $878.39 / $1,842.73	Professional		$878.39	$878.39	$1,842.73