Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,926.75 / $3,519.42 / $5,064.95	Professional		$1,926.75	$3,519.42	$5,064.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,117.78 / $2,715.41 / $3,977.33	Professional		$2,117.78	$2,715.41	$3,977.33
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $502.62 / $502.62 / $6,534.06	Facility		$502.62	$502.62	$6,534.06
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $502.62 / $502.62 / $6,534.06	Professional		$502.62	$502.62	$6,534.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,349.85 / $3,349.85 / $3,349.85	Facility		$3,349.85	$3,349.85	$3,349.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $399.28 / $3,349.85 / $3,547.80	Professional		$399.28	$3,349.85	$3,547.80
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,399.66 / $4,249.58 / $4,249.58	Professional		$3,399.66	$4,249.58	$4,249.58
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,647.91 / $3,647.91 / $4,249.58	Professional		$3,647.91	$3,647.91	$4,249.58
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $3,349.85 / $3,349.85 / $3,349.85	Facility		$3,349.85	$3,349.85	$3,349.85
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $399.28 / $3,349.85 / $3,547.80	Professional		$399.28	$3,349.85	$3,547.80
United Facility/Professional Professional Modifier Low / Median / High Price $1,160.88 / $2,317.84 / $3,994.41	Professional		$1,160.88	$2,317.84	$3,994.41
Univera Facility/Professional Facility Modifier Low / Median / High Price $3,647.91 / $3,647.91 / $3,647.91	Facility		$3,647.91	$3,647.91	$3,647.91
Univera Facility/Professional Professional Modifier Low / Median / High Price $3,647.91 / $3,647.91 / $4,249.58	Professional		$3,647.91	$3,647.91	$4,249.58