Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,923.81 / $2,978.16 / $4,872.89	Professional		$1,923.81	$2,978.16	$4,872.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,159.91 / $3,799.00 / $3,893.98	Professional		$2,159.91	$3,799.00	$3,893.98
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $421.50 / $421.50 / $5,479.50	Facility		$421.50	$421.50	$5,479.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $421.50 / $421.50 / $5,479.50	Professional		$421.50	$421.50	$5,479.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,655.97 / $3,655.97 / $3,655.97	Facility		$3,655.97	$3,655.97	$3,655.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $441.69 / $3,655.97 / $3,655.97	Professional		$441.69	$3,655.97	$3,655.97
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,896.72 / $2,954.65 / $3,139.33	Professional		$2,896.72	$2,954.65	$3,139.33
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $3,655.97 / $3,655.97 / $3,655.97	Facility		$3,655.97	$3,655.97	$3,655.97
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $259.02 / $3,655.97 / $3,655.97	Professional		$259.02	$3,655.97	$3,655.97
United Facility/Professional Professional Modifier Low / Median / High Price $1,520.48 / $2,260.64 / $3,660.33	Professional		$1,520.48	$2,260.64	$3,660.33
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,954.65 / $2,954.65 / $2,954.65	Facility		$2,954.65	$2,954.65	$2,954.65
Univera Facility/Professional Professional Modifier Low / Median / High Price $2,954.65 / $2,954.65 / $3,139.33	Professional		$2,954.65	$2,954.65	$3,139.33