Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,414.02 / $2,661.73 / $3,573.24	Professional		$1,414.02	$2,661.73	$3,573.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,476.18 / $2,583.84 / $2,583.84	Professional		$1,476.18	$2,583.84	$2,583.84
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $379.20 / $379.20 / $4,929.60	Facility		$379.20	$379.20	$4,929.60
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $379.20 / $379.20 / $4,929.60	Professional		$379.20	$379.20	$4,929.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,416.31 / $2,416.31 / $2,416.31	Facility		$2,416.31	$2,416.31	$2,416.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $288.01 / $2,416.31 / $2,416.31	Professional		$288.01	$2,416.31	$2,416.31
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,494.94 / $3,118.68 / $3,118.68	Professional		$2,494.94	$3,118.68	$3,118.68
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,677.12 / $2,677.12 / $3,118.68	Professional		$2,677.12	$2,677.12	$3,118.68
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $2,416.31 / $2,416.31 / $2,416.31	Facility		$2,416.31	$2,416.31	$2,416.31
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $288.01 / $2,416.31 / $2,416.31	Professional		$288.01	$2,416.31	$2,416.31
United Facility/Professional Professional Modifier Low / Median / High Price $827.26 / $1,637.40 / $2,578.31	Professional		$827.26	$1,637.40	$2,578.31
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,677.12 / $2,677.12 / $2,677.12	Facility		$2,677.12	$2,677.12	$2,677.12
Univera Facility/Professional Professional Modifier Low / Median / High Price $2,677.12 / $2,677.12 / $3,118.68	Professional		$2,677.12	$2,677.12	$3,118.68