Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,441.19 / $4,879.45 / $7,238.55	Professional		$2,441.19	$4,879.45	$7,238.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,933.82 / $3,917.60 / $3,917.60	Professional		$2,933.82	$3,917.60	$3,917.60
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $744.53 / $744.53 / $9,678.89	Facility		$744.53	$744.53	$9,678.89
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $744.53 / $744.53 / $9,678.89	Professional		$744.53	$744.53	$9,678.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,587.01 / $5,587.01 / $5,587.01	Facility		$5,587.01	$5,587.01	$5,587.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $665.31 / $5,587.01 / $6,653.09	Professional		$665.31	$5,587.01	$6,653.09
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $4,307.37 / $5,384.21 / $5,384.21	Professional		$4,307.37	$5,384.21	$5,384.21
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,621.89 / $4,621.89 / $5,384.21	Professional		$4,621.89	$4,621.89	$5,384.21
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $5,587.01 / $5,587.01 / $5,587.01	Facility		$5,587.01	$5,587.01	$5,587.01
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $665.31 / $5,587.01 / $5,587.01	Professional		$665.31	$5,587.01	$5,587.01
United Facility/Professional Professional Modifier Low / Median / High Price $1,658.59 / $2,966.76 / $5,060.58	Professional		$1,658.59	$2,966.76	$5,060.58
Univera Facility/Professional Facility Modifier Low / Median / High Price $4,621.89 / $4,621.89 / $4,621.89	Facility		$4,621.89	$4,621.89	$4,621.89
Univera Facility/Professional Professional Modifier Low / Median / High Price $4,621.89 / $4,621.89 / $5,384.21	Professional		$4,621.89	$4,621.89	$5,384.21