Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,663.50 / $1,663.50 / $1,713.40	Professional		$1,663.50	$1,663.50	$1,713.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,473.99 / $3,473.99 / $3,717.91	Professional		$3,473.99	$3,473.99	$3,717.91
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $391.41 / $391.41 / $391.41	Facility		$391.41	$391.41	$391.41
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $391.41 / $391.41 / $391.41	Professional		$391.41	$391.41	$391.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,996.00 / $3,996.00 / $3,996.00	Facility		$3,996.00	$3,996.00	$3,996.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,915.00 / $3,996.00 / $4,893.75	Professional		$3,915.00	$3,996.00	$4,893.75
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,393.52 / $3,393.52 / $3,924.39	Professional		$3,393.52	$3,393.52	$3,924.39
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $3,996.00 / $3,996.00 / $3,996.00	Facility		$3,996.00	$3,996.00	$3,996.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $3,915.00 / $3,996.00 / $4,893.75	Professional		$3,915.00	$3,996.00	$4,893.75
United Facility/Professional Professional Modifier Low / Median / High Price $1,054.20 / $1,663.50 / $2,877.12	Professional		$1,054.20	$1,663.50	$2,877.12
Univera Facility/Professional Facility Modifier Low / Median / High Price $3,924.39 / $3,924.39 / $3,924.39	Facility		$3,924.39	$3,924.39	$3,924.39
Univera Facility/Professional Professional Modifier Low / Median / High Price $3,393.52 / $3,924.39 / $3,924.39	Professional		$3,393.52	$3,924.39	$3,924.39