Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,640.66 / $4,213.42 / $6,893.92	Professional		$2,640.66	$4,213.42	$6,893.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,055.72 / $4,969.71 / $5,485.80	Professional		$3,055.72	$4,969.71	$5,485.80
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $596.30 / $596.30 / $7,752.03	Facility		$596.30	$596.30	$7,752.03
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $596.30 / $596.30 / $7,752.03	Professional		$596.30	$596.30	$7,752.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,106.14 / $5,106.14 / $5,106.14	Facility		$5,106.14	$5,106.14	$5,106.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $616.89 / $5,106.14 / $5,106.14	Professional		$616.89	$5,106.14	$5,106.14
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,098.16 / $4,180.12 / $4,441.39	Professional		$4,098.16	$4,180.12	$4,441.39
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $5,106.14 / $5,106.14 / $5,106.14	Facility		$5,106.14	$5,106.14	$5,106.14
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $458.90 / $5,106.14 / $5,106.14	Professional		$458.90	$5,106.14	$5,106.14
United Facility/Professional Professional Modifier Low / Median / High Price $1,602.86 / $2,505.44 / $4,502.00	Professional		$1,602.86	$2,505.44	$4,502.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $4,180.12 / $4,180.12 / $4,180.12	Facility		$4,180.12	$4,180.12	$4,180.12
Univera Facility/Professional Professional Modifier Low / Median / High Price $4,180.12 / $4,180.12 / $4,441.39	Professional		$4,180.12	$4,180.12	$4,441.39