Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,217.60 / $4,177.56 / $5,508.69	Professional		$2,217.60	$4,177.56	$5,508.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,406.41 / $3,182.33 / $3,182.33	Professional		$2,406.41	$3,182.33	$3,182.33
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $596.53 / $596.53 / $7,754.89	Facility		$596.53	$596.53	$7,754.89
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $596.53 / $596.53 / $7,754.89	Professional		$596.53	$596.53	$7,754.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,187.00 / $2,187.00 / $2,187.00	Facility		$2,187.00	$2,187.00	$2,187.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $455.09 / $2,187.00 / $4,550.89	Professional		$455.09	$2,187.00	$4,550.89
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,912.90 / $4,891.13 / $4,891.13	Professional		$3,912.90	$4,891.13	$4,891.13
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,198.63 / $4,198.63 / $4,891.13	Professional		$4,198.63	$4,198.63	$4,891.13
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $2,187.00 / $2,187.00 / $2,187.00	Facility		$2,187.00	$2,187.00	$2,187.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $455.09 / $2,187.00 / $4,046.01	Professional		$455.09	$2,187.00	$4,046.01
United Facility/Professional Professional Modifier Low / Median / High Price $1,676.34 / $2,711.48 / $4,597.10	Professional		$1,676.34	$2,711.48	$4,597.10
Univera Facility/Professional Facility Modifier Low / Median / High Price $4,198.63 / $4,198.63 / $4,198.63	Facility		$4,198.63	$4,198.63	$4,198.63
Univera Facility/Professional Professional Modifier Low / Median / High Price $4,198.63 / $4,198.63 / $4,891.13	Professional		$4,198.63	$4,198.63	$4,891.13