Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,654.83 / $2,654.83 / $3,250.91	Facility		$2,654.83	$2,654.83	$3,250.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,831.50 / $3,250.91 / $3,263.15	Professional		$1,831.50	$3,250.91	$3,263.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,751.98 / $1,751.98 / $4,905.54	Professional		$1,751.98	$1,751.98	$4,905.54
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $405.51 / $405.51 / $5,271.63	Facility		$405.51	$405.51	$5,271.63
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $405.51 / $405.51 / $5,271.63	Professional		$405.51	$405.51	$5,271.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,685.49 / $3,685.49 / $3,685.49	Facility		$3,685.49	$3,685.49	$3,685.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $218.45 / $3,637.50 / $3,685.49	Professional		$218.45	$3,637.50	$3,685.49
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,888.57 / $4,888.57 / $5,194.12	Professional		$4,888.57	$4,888.57	$5,194.12
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $3,685.49 / $3,685.49 / $3,685.49	Facility		$3,685.49	$3,685.49	$3,685.49
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $218.45 / $3,685.49 / $3,685.49	Professional		$218.45	$3,685.49	$3,685.49
United Facility/Professional Professional Modifier Low / Median / High Price $113.44 / $323.43 / $2,361.05	Professional		$113.44	$323.43	$2,361.05
Univera Facility/Professional Facility Modifier Low / Median / High Price $4,888.57 / $4,888.57 / $4,888.57	Facility		$4,888.57	$4,888.57	$4,888.57
Univera Facility/Professional Professional Modifier Low / Median / High Price $4,888.57 / $4,888.57 / $5,194.12	Professional		$4,888.57	$4,888.57	$5,194.12