Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,904.95 / $5,998.28 / $9,845.77	Professional		$2,904.95	$5,998.28	$9,845.77
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,225.85 / $4,662.05 / $4,662.05	Professional		$4,225.85	$4,662.05	$4,662.05
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $950.83 / $950.83 / $12,360.79	Facility		$950.83	$950.83	$12,360.79
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $950.83 / $950.83 / $12,360.79	Professional		$950.83	$950.83	$12,360.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,608.68 / $7,608.68 / $7,608.68	Facility		$7,608.68	$7,608.68	$7,608.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $906.70 / $7,608.68 / $7,608.68	Professional		$906.70	$7,608.68	$7,608.68
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $5,125.71 / $6,407.14 / $6,407.14	Professional		$5,125.71	$6,407.14	$6,407.14
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $5,499.99 / $5,499.99 / $6,407.14	Professional		$5,499.99	$5,499.99	$6,407.14
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $7,608.68 / $7,608.68 / $7,608.68	Facility		$7,608.68	$7,608.68	$7,608.68
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $906.70 / $7,608.68 / $7,608.68	Professional		$906.70	$7,608.68	$7,608.68
United Facility/Professional Professional Modifier Low / Median / High Price $2,255.39 / $3,993.70 / $6,190.31	Professional		$2,255.39	$3,993.70	$6,190.31
Univera Facility/Professional Facility Modifier Low / Median / High Price $5,499.99 / $5,499.99 / $5,499.99	Facility		$5,499.99	$5,499.99	$5,499.99
Univera Facility/Professional Professional Modifier Low / Median / High Price $5,499.99 / $5,499.99 / $6,407.14	Professional		$5,499.99	$5,499.99	$6,407.14