Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $5,370.32 / $10,964.78	Facility		$2,238.72	$5,370.32	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $75.86 / $134.90	Professional		$64.57	$75.86	$134.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $23.44 / $41.69	Professional		$18.62	$23.44	$41.69
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Professional		$100.00	$100.00	$100.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $5,754.40 / $26,915.35	Facility		$107.15	$5,754.40	$26,915.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $302.00 / $302.00	Professional		$85.11	$302.00	$302.00
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $46.77 / $46.77	Facility		$46.77	$46.77	$46.77
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $91.20 / $134.90	Professional		$46.77	$91.20	$134.90
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $6,606.93 / $50,118.72	Facility		$100.00	$6,606.93	$50,118.72
United Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $2,754.23 / $4,897.79	Facility		$1,318.26	$2,754.23	$4,897.79
United Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $87.10 / $181.97	Professional		$66.07	$87.10	$181.97
Univera Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $53.70 / $91.20	Facility		$46.77	$53.70	$91.20
Univera Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $81.28 / $141.25	Professional		$46.77	$81.28	$141.25