Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,440.00 / $5,894.00 / $12,051.00	Facility		$2,440.00	$5,894.00	$12,051.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,519.53 / $2,128.89 / $2,692.07	Professional		$1,519.53	$2,128.89	$2,692.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,760.00 / $10,017.00 / $17,122.00	Facility		$4,760.00	$10,017.00	$17,122.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,629.65 / $1,917.24 / $3,263.56	Professional		$1,629.65	$1,917.24	$3,263.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,520.26 / $2,520.26 / $2,520.26	Facility		$2,520.26	$2,520.26	$2,520.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10,495.89 / $10,495.89 / $10,495.89	Professional		$10,495.89	$10,495.89	$10,495.89
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,070.39 / $2,070.39 / $2,070.39	Facility		$2,070.39	$2,070.39	$2,070.39
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,070.39 / $3,105.59 / $4,697.07	Professional		$2,070.39	$3,105.59	$4,697.07
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $2,520.26	Facility		$555.00	$597.00	$2,520.26
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $10,495.89 / $10,495.89 / $10,495.89	Professional		$10,495.89	$10,495.89	$10,495.89
United Facility/Professional Facility Modifier Low / Median / High Price $1,749.00 / $4,194.00 / $9,603.00	Facility		$1,749.00	$4,194.00	$9,603.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,961.91 / $2,835.01 / $6,828.02	Professional		$1,961.91	$2,835.01	$6,828.02
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,070.39 / $2,130.16 / $2,130.16	Facility		$2,070.39	$2,130.16	$2,130.16
Univera Facility/Professional Professional Modifier Low / Median / High Price $2,130.16 / $2,130.16 / $4,697.07	Professional		$2,130.16	$2,130.16	$4,697.07