Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $5,888.44 / $12,302.69	Facility		$2,570.40	$5,888.44	$12,302.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $2,238.72 / $2,754.23	Professional		$1,584.89	$2,238.72	$2,754.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $11,481.54 / $18,620.87	Facility		$4,786.30	$11,481.54	$18,620.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,137.96 / $3,467.37	Professional		$1,819.70	$2,137.96	$3,467.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $3,890.45 / $50,118.72	Facility		$3,890.45	$3,890.45	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10,964.78 / $10,964.78 / $10,964.78	Professional		$10,964.78	$10,964.78	$10,964.78
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $2,137.96 / $2,137.96	Facility		$2,137.96	$2,137.96	$2,137.96
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $3,235.94 / $5,623.41	Professional		$2,137.96	$3,235.94	$5,623.41
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $50,118.72 / $53,703.18 / $75,857.76	Facility		$50,118.72	$53,703.18	$75,857.76
United Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $4,265.80 / $10,471.29	Facility		$1,513.56	$4,265.80	$10,471.29
United Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,884.03 / $7,079.46	Professional		$2,041.74	$2,884.03	$7,079.46
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $2,187.76 / $2,187.76	Facility		$2,187.76	$2,187.76	$2,187.76
Univera Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,187.76 / $4,897.79	Professional		$2,187.76	$2,187.76	$4,897.79