Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,217.60 / $4,305.00 / $6,106.43	Professional		$2,217.60	$4,305.00	$6,106.43
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,480.69 / $3,357.90 / $4,577.39	Professional		$2,480.69	$3,357.90	$4,577.39
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $594.40 / $594.40 / $7,727.20	Facility		$594.40	$594.40	$7,727.20
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $594.40 / $594.40 / $7,727.20	Professional		$594.40	$594.40	$7,727.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,124.25 / $4,124.25 / $4,124.25	Facility		$4,124.25	$4,124.25	$4,124.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $491.56 / $4,124.25 / $4,276.80	Professional		$491.56	$4,124.25	$4,276.80
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,912.90 / $4,891.13 / $4,891.13	Professional		$3,912.90	$4,891.13	$4,891.13
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,198.63 / $4,198.63 / $4,891.13	Professional		$4,198.63	$4,198.63	$4,891.13
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $4,124.25 / $4,124.25 / $4,124.25	Facility		$4,124.25	$4,124.25	$4,124.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $491.56 / $4,124.25 / $4,276.80	Professional		$491.56	$4,124.25	$4,276.80
United Facility/Professional Professional Modifier Low / Median / High Price $1,860.74 / $2,732.15 / $3,857.56	Professional		$1,860.74	$2,732.15	$3,857.56
Univera Facility/Professional Facility Modifier Low / Median / High Price $4,198.63 / $4,198.63 / $4,198.63	Facility		$4,198.63	$4,198.63	$4,198.63
Univera Facility/Professional Professional Modifier Low / Median / High Price $4,198.63 / $4,198.63 / $4,891.13	Professional		$4,198.63	$4,198.63	$4,891.13