Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,024.65 / $1,262.25 / $1,485.00	Facility		$1,024.65	$1,262.25	$1,485.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,024.65 / $1,188.00 / $1,262.25	Professional		$1,024.65	$1,188.00	$1,262.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,049.40 / $1,049.40 / $1,311.75	Facility		$1,049.40	$1,049.40	$1,311.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,237.50 / $1,237.50 / $1,693.43	Professional		$1,237.50	$1,237.50	$1,693.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,364.08 / $1,364.08 / $1,364.08	Facility		$1,364.08	$1,364.08	$1,364.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,262.25 / $1,262.25 / $1,885.95	Professional		$1,262.25	$1,262.25	$1,885.95
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.62 / $50.62 / $50.62	Professional		$50.62	$50.62	$50.62
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $1,364.08 / $1,364.08 / $1,364.08	Facility		$1,364.08	$1,364.08	$1,364.08
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $13.00 / $13.00 / $1,336.50	Professional		$13.00	$13.00	$1,336.50
Univera Facility/Professional Facility Modifier Low / Median / High Price $47.33 / $47.33 / $47.33	Facility		$47.33	$47.33	$47.33
Univera Facility/Professional Professional Modifier Low / Median / High Price $47.33 / $47.33 / $50.62	Professional		$47.33	$47.33	$50.62