Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,610.24 / $2,892.00 / $3,959.01	Professional		$1,610.24	$2,892.00	$3,959.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,678.78 / $2,852.72 / $2,852.72	Professional		$1,678.78	$2,852.72	$2,852.72
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $426.60 / $426.60 / $5,545.80	Facility		$426.60	$426.60	$5,545.80
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $426.60 / $426.60 / $5,545.80	Professional		$426.60	$426.60	$5,545.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,671.66 / $2,671.66 / $2,671.66	Facility		$2,671.66	$2,671.66	$2,671.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $318.45 / $2,671.66 / $3,645.00	Professional		$318.45	$2,671.66	$3,645.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,841.17 / $3,551.46 / $3,551.46	Professional		$2,841.17	$3,551.46	$3,551.46
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,048.64 / $3,048.64 / $3,551.46	Professional		$3,048.64	$3,048.64	$3,551.46
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $2,671.66 / $2,671.66 / $2,671.66	Facility		$2,671.66	$2,671.66	$2,671.66
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $318.45 / $2,671.66 / $3,645.00	Professional		$318.45	$2,671.66	$3,645.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,217.25 / $1,842.10 / $2,766.93	Professional		$1,217.25	$1,842.10	$2,766.93
Univera Facility/Professional Facility Modifier Low / Median / High Price $3,048.64 / $3,048.64 / $3,048.64	Facility		$3,048.64	$3,048.64	$3,048.64
Univera Facility/Professional Professional Modifier Low / Median / High Price $3,048.64 / $3,048.64 / $3,551.46	Professional		$3,048.64	$3,048.64	$3,551.46