Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,495.41 / $11,481.54 / $13,803.84	Facility		$5,495.41	$11,481.54	$13,803.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,778.28 / $2,137.96	Professional		$1,380.38	$1,778.28	$2,137.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $338.84 / $3,801.89	Professional		$338.84	$338.84	$3,801.89
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $2,511.89 / $2,511.89	Facility		$2,511.89	$2,511.89	$2,511.89
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,511.89 / $2,511.89	Professional		$1,819.70	$2,511.89	$2,511.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $6,456.54 / $7,943.28	Facility		$5,370.32	$6,456.54	$7,943.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,897.79 / $6,025.60 / $23,988.33	Professional		$4,897.79	$6,025.60	$23,988.33
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $5,248.07 / $6,456.54 / $9,120.11	Professional		$5,248.07	$6,456.54	$9,120.11
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,168.69 / $4,897.79 / $8,912.51	Professional		$4,168.69	$4,897.79	$8,912.51
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $4,897.79 / $4,897.79 / $4,897.79	Professional		$4,897.79	$4,897.79	$4,897.79
United Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,513.56 / $3,801.89	Professional		$1,047.13	$1,513.56	$3,801.89
Univera Facility/Professional Professional Modifier Low / Median / High Price $4,168.69 / $4,897.79 / $9,772.37	Professional		$4,168.69	$4,897.79	$9,772.37