Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,529.15 / $3,529.15 / $4,538.10	Facility		$3,529.15	$3,529.15	$4,538.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,947.82 / $4,055.04 / $6,248.88	Professional		$2,947.82	$4,055.04	$6,248.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,428.68 / $4,428.68 / $8,242.04	Professional		$4,428.68	$4,428.68	$8,242.04
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $650.20 / $650.20 / $8,452.60	Facility		$650.20	$650.20	$8,452.60
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $650.20 / $650.20 / $8,452.60	Professional		$650.20	$650.20	$8,452.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $422.50 / $422.50 / $422.50	Facility		$422.50	$422.50	$422.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $479.92 / $4,550.34 / $6,708.75	Professional		$479.92	$4,550.34	$6,708.75
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $6,288.67 / $6,288.67 / $6,681.71	Professional		$6,288.67	$6,288.67	$6,681.71
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $422.50 / $422.50 / $74,999.25	Facility		$422.50	$422.50	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $422.50 / $4,550.34 / $6,708.75	Professional		$422.50	$4,550.34	$6,708.75
United Facility/Professional Professional Modifier Low / Median / High Price $2,324.88 / $3,517.45 / $5,644.87	Professional		$2,324.88	$3,517.45	$5,644.87
Univera Facility/Professional Facility Modifier Low / Median / High Price $6,288.67 / $6,288.67 / $6,288.67	Facility		$6,288.67	$6,288.67	$6,288.67
Univera Facility/Professional Professional Modifier Low / Median / High Price $6,288.67 / $6,288.67 / $6,681.71	Professional		$6,288.67	$6,288.67	$6,681.71