Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,842.55 / $2,818.16 / $4,027.43	Professional		$1,842.55	$2,818.16	$4,027.43
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,560.39 / $2,079.98 / $2,079.98	Professional		$1,560.39	$2,079.98	$2,079.98
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $453.39 / $453.39 / $5,894.07	Facility		$453.39	$453.39	$5,894.07
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $453.39 / $453.39 / $5,894.07	Professional		$453.39	$453.39	$5,894.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,290.69 / $2,290.69 / $3,236.31	Facility		$2,290.69	$2,290.69	$3,236.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,947.10 / $2,290.69 / $3,236.31	Professional		$1,947.10	$2,290.69	$3,236.31
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,017.78 / $3,251.15 / $4,063.94	Professional		$3,017.78	$3,251.15	$4,063.94
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,488.55 / $3,488.55 / $4,063.94	Professional		$3,488.55	$3,488.55	$4,063.94
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $2,290.69 / $2,290.69 / $3,236.31	Facility		$2,290.69	$2,290.69	$3,236.31
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,947.10 / $2,290.69 / $3,236.31	Professional		$1,947.10	$2,290.69	$3,236.31
United Facility/Professional Facility Modifier Low / Median / High Price $204.97 / $402.16 / $2,829.98	Facility		$204.97	$402.16	$2,829.98
United Facility/Professional Professional Modifier Low / Median / High Price $1,385.32 / $2,211.69 / $3,227.48	Professional		$1,385.32	$2,211.69	$3,227.48
Univera Facility/Professional Facility Modifier Low / Median / High Price $3,488.55 / $3,488.55 / $3,488.55	Facility		$3,488.55	$3,488.55	$3,488.55
Univera Facility/Professional Professional Modifier Low / Median / High Price $3,488.55 / $3,488.55 / $4,063.94	Professional		$3,488.55	$3,488.55	$4,063.94