Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,104.70 / $2,243.46 / $3,219.48	Professional		$1,104.70	$2,243.46	$3,219.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,294.09 / $2,245.57 / $2,245.57	Professional		$1,294.09	$2,245.57	$2,245.57
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $323.49 / $323.49 / $4,205.37	Facility		$323.49	$323.49	$4,205.37
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $323.49 / $323.49 / $4,205.37	Professional		$323.49	$323.49	$4,205.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,225.09 / $2,225.09 / $2,225.09	Facility		$2,225.09	$2,225.09	$2,225.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $274.97 / $2,225.09 / $2,624.00	Professional		$274.97	$2,225.09	$2,624.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,949.22 / $2,436.52 / $2,436.52	Professional		$1,949.22	$2,436.52	$2,436.52
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,091.55 / $2,091.55 / $2,436.52	Professional		$2,091.55	$2,091.55	$2,436.52
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $2,225.09 / $2,225.09 / $2,225.09	Facility		$2,225.09	$2,225.09	$2,225.09
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $274.97 / $2,225.09 / $2,624.00	Professional		$274.97	$2,225.09	$2,624.00
United Facility/Professional Professional Modifier Low / Median / High Price $737.71 / $1,290.99 / $2,016.78	Professional		$737.71	$1,290.99	$2,016.78
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,091.55 / $2,091.55 / $2,091.55	Facility		$2,091.55	$2,091.55	$2,091.55
Univera Facility/Professional Professional Modifier Low / Median / High Price $2,091.55 / $2,091.55 / $2,436.52	Professional		$2,091.55	$2,091.55	$2,436.52