Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,870.89 / $5,772.70 / $8,275.29	Professional		$2,870.89	$5,772.70	$8,275.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,568.31 / $4,607.39 / $4,607.39	Professional		$3,568.31	$4,607.39	$4,607.39
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $864.79 / $864.79 / $11,242.27	Facility		$864.79	$864.79	$11,242.27
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $864.79 / $864.79 / $11,242.27	Professional		$864.79	$864.79	$11,242.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,410.99 / $6,410.99 / $6,410.99	Facility		$6,410.99	$6,410.99	$6,410.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $761.11 / $6,410.99 / $7,634.32	Professional		$761.11	$6,410.99	$7,634.32
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $5,065.59 / $6,331.99 / $6,331.99	Professional		$5,065.59	$6,331.99	$6,331.99
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $5,435.49 / $5,435.49 / $6,331.99	Professional		$5,435.49	$5,435.49	$6,331.99
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $6,410.99 / $6,410.99 / $6,410.99	Facility		$6,410.99	$6,410.99	$6,410.99
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $761.11 / $6,410.99 / $6,410.99	Professional		$761.11	$6,410.99	$6,410.99
United Facility/Professional Professional Modifier Low / Median / High Price $2,170.17 / $3,510.40 / $5,257.85	Professional		$2,170.17	$3,510.40	$5,257.85
Univera Facility/Professional Facility Modifier Low / Median / High Price $5,435.49 / $5,435.49 / $5,435.49	Facility		$5,435.49	$5,435.49	$5,435.49
Univera Facility/Professional Professional Modifier Low / Median / High Price $5,435.49 / $5,435.49 / $6,331.99	Professional		$5,435.49	$5,435.49	$6,331.99