Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $109.65 / $109.65	Facility		$56.23	$109.65	$109.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $109.65 / $208.93	Professional		$87.10	$109.65	$208.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $3,630.78 / $5,011.87	Facility		$1,819.70	$3,630.78	$5,011.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $123.03 / $218.78	Professional		$97.72	$123.03	$218.78
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $4,073.80	Facility		$1,348.96	$1,348.96	$4,073.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50,118.72 / $50,118.72 / $53,703.18	Facility		$50,118.72	$50,118.72	$53,703.18
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $131.83 / $131.83	Professional		$58.88	$131.83	$131.83
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 Professional Modifier Low / Median / High Price $30.20 / $39.81 / $186.21	Professional		$30.20	$39.81	$186.21
Univera Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $117.49 / $117.49	Facility		$85.11	$117.49	$117.49
Univera Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $117.49 / $131.83	Professional		$69.18	$117.49	$131.83