Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $3,235.94 / $3,235.94	Facility		$2,630.27	$3,235.94	$3,235.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $2,344.23 / $3,235.94	Professional		$1,584.89	$2,344.23	$3,235.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $1,737.80 / $4,168.69	Professional		$1,737.80	$1,737.80	$4,168.69
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $407.38 / $5,248.07	Facility		$380.19	$407.38	$5,248.07
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $407.38 / $5,248.07	Professional		$407.38	$407.38	$5,248.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $3,801.89 / $7,413.10	Facility		$616.60	$3,801.89	$7,413.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $3,715.35 / $8,317.64	Professional		$218.78	$3,715.35	$8,317.64
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $38,018.94 / $38,018.94 / $38,018.94	Professional		$38,018.94	$38,018.94	$38,018.94
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,897.79 / $4,897.79 / $5,248.07	Professional		$4,897.79	$4,897.79	$5,248.07
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $50,118.72 / $53,703.18 / $75,857.76	Facility		$50,118.72	$53,703.18	$75,857.76
United Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $239.88 / $2,630.27	Facility		$114.82	$239.88	$2,630.27
United Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $426.58 / $2,884.03	Professional		$112.20	$426.58	$2,884.03
Univera Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $4,897.79 / $4,897.79	Facility		$4,786.30	$4,897.79	$4,897.79
Univera Facility/Professional Professional Modifier Low / Median / High Price $4,786.30 / $4,897.79 / $5,248.07	Professional		$4,786.30	$4,897.79	$5,248.07