Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,681.34 / $2,912.70 / $3,972.45	Professional		$1,681.34	$2,912.70	$3,972.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,129.41 / $3,129.41 / $4,816.78	Professional		$3,129.41	$3,129.41	$4,816.78
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $351.39 / $2,635.39 / $3,513.86	Facility		$351.39	$2,635.39	$3,513.86
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $351.39 / $2,635.39 / $3,513.86	Professional		$351.39	$2,635.39	$3,513.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,672.64 / $2,672.64 / $2,672.64	Facility		$2,672.64	$2,672.64	$2,672.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,271.73 / $2,672.64 / $3,507.84	Professional		$2,271.73	$2,672.64	$3,507.84
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $332.00 / $332.00	Facility		$319.00	$332.00	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,283.13 / $2,651.66 / $3,753.11	Professional		$2,283.13	$2,651.66	$3,753.11
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,183.28 / $3,183.28 / $3,352.67	Professional		$3,183.28	$3,183.28	$3,352.67
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $2,672.64 / $2,672.64 / $2,672.64	Facility		$2,672.64	$2,672.64	$2,672.64
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $2,271.73 / $2,672.64 / $3,507.84	Professional		$2,271.73	$2,672.64	$3,507.84
United Facility/Professional Professional Modifier Low / Median / High Price $1,364.85 / $2,311.42 / $3,338.59	Professional		$1,364.85	$2,311.42	$3,338.59
Univera Facility/Professional Facility Modifier Low / Median / High Price $3,183.28 / $3,183.28 / $3,183.28	Facility		$3,183.28	$3,183.28	$3,183.28
Univera Facility/Professional Professional Modifier Low / Median / High Price $3,183.28 / $3,183.28 / $3,352.67	Professional		$3,183.28	$3,183.28	$3,352.67