Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,514.71 / $2,610.58 / $3,715.91	Professional		$1,514.71	$2,610.58	$3,715.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,559.22 / $2,077.48 / $2,092.03	Professional		$1,559.22	$2,077.48	$2,092.03
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $399.40 / $399.40 / $5,192.20	Facility		$399.40	$399.40	$5,192.20
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $399.40 / $399.40 / $5,192.20	Professional		$399.40	$399.40	$5,192.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,592.00 / $2,592.00 / $2,592.00	Facility		$2,592.00	$2,592.00	$2,592.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $296.08 / $2,592.00 / $3,110.40	Professional		$296.08	$2,592.00	$3,110.40
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,672.62 / $3,340.78 / $3,340.78	Professional		$2,672.62	$3,340.78	$3,340.78
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,867.78 / $2,867.78 / $3,340.78	Professional		$2,867.78	$2,867.78	$3,340.78
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $2,592.00 / $2,592.00 / $2,592.00	Facility		$2,592.00	$2,592.00	$2,592.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $296.08 / $2,592.00 / $3,373.90	Professional		$296.08	$2,592.00	$3,373.90
United Facility/Professional Professional Modifier Low / Median / High Price $860.33 / $1,691.90 / $2,683.96	Professional		$860.33	$1,691.90	$2,683.96
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,867.78 / $2,867.78 / $2,867.78	Facility		$2,867.78	$2,867.78	$2,867.78
Univera Facility/Professional Professional Modifier Low / Median / High Price $2,867.78 / $2,867.78 / $3,340.78	Professional		$2,867.78	$2,867.78	$3,340.78