Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,030.07 / $3,665.80 / $5,194.31	Professional		$2,030.07	$3,665.80	$5,194.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,228.05 / $2,959.91 / $2,959.91	Professional		$2,228.05	$2,959.91	$2,959.91
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $548.67 / $548.67 / $7,132.84	Facility		$548.67	$548.67	$7,132.84
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $548.67 / $548.67 / $7,132.84	Professional		$548.67	$548.67	$7,132.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,673.00 / $2,673.00 / $2,673.00	Facility		$2,673.00	$2,673.00	$2,673.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $421.95 / $2,673.00 / $4,219.47	Professional		$421.95	$2,673.00	$4,219.47
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,582.02 / $4,477.53 / $4,477.53	Professional		$3,582.02	$4,477.53	$4,477.53
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,843.58 / $3,843.58 / $4,477.53	Professional		$3,843.58	$3,843.58	$4,477.53
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $2,673.00 / $2,673.00 / $2,673.00	Facility		$2,673.00	$2,673.00	$2,673.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $421.95 / $2,673.00 / $3,470.68	Professional		$421.95	$2,673.00	$3,470.68
United Facility/Professional Professional Modifier Low / Median / High Price $1,190.60 / $2,642.00 / $3,488.73	Professional		$1,190.60	$2,642.00	$3,488.73
Univera Facility/Professional Facility Modifier Low / Median / High Price $3,843.58 / $3,843.58 / $3,843.58	Facility		$3,843.58	$3,843.58	$3,843.58
Univera Facility/Professional Professional Modifier Low / Median / High Price $3,843.58 / $3,843.58 / $4,477.53	Professional		$3,843.58	$3,843.58	$4,477.53