Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,299.89 / $1,660.08 / $1,886.26	Facility		$1,299.89	$1,660.08	$1,886.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,299.89 / $1,886.26 / $3,043.48	Professional		$1,299.89	$1,886.26	$3,043.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,505.20 / $1,505.20 / $3,916.16	Professional		$1,505.20	$1,505.20	$3,916.16
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $270.06 / $270.06 / $3,510.78	Facility		$270.06	$270.06	$3,510.78
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $270.06 / $270.06 / $3,510.78	Professional		$270.06	$270.06	$3,510.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,950.00 / $1,950.00 / $1,950.00	Facility		$1,950.00	$1,950.00	$1,950.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $268.27 / $1,950.00 / $2,008.50	Professional		$268.27	$1,950.00	$2,008.50
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,316.32 / $2,316.32 / $2,461.09	Professional		$2,316.32	$2,316.32	$2,461.09
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $1,950.00 / $1,950.00 / $1,950.00	Facility		$1,950.00	$1,950.00	$1,950.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $268.27 / $1,950.00 / $2,008.50	Professional		$268.27	$1,950.00	$2,008.50
United Facility/Professional Professional Modifier Low / Median / High Price $1,014.35 / $1,563.64 / $2,535.88	Professional		$1,014.35	$1,563.64	$2,535.88
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,316.32 / $2,316.32 / $2,838.62	Facility		$2,316.32	$2,316.32	$2,838.62
Univera Facility/Professional Professional Modifier Low / Median / High Price $2,316.32 / $2,316.32 / $2,461.09	Professional		$2,316.32	$2,316.32	$2,461.09