Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,983.87 / $3,708.69 / $5,429.71	Professional		$1,983.87	$3,708.69	$5,429.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,219.23 / $2,976.17 / $4,094.96	Professional		$2,219.23	$2,976.17	$4,094.96
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $529.85 / $529.85 / $6,888.05	Facility		$529.85	$529.85	$6,888.05
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $529.85 / $529.85 / $6,888.05	Professional		$529.85	$529.85	$6,888.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,657.49 / $3,657.49 / $3,657.49	Facility		$3,657.49	$3,657.49	$3,657.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $435.92 / $3,657.49 / $3,657.49	Professional		$435.92	$3,657.49	$3,657.49
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,500.50 / $4,375.62 / $4,375.62	Professional		$3,500.50	$4,375.62	$4,375.62
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,756.11 / $3,756.11 / $4,375.62	Professional		$3,756.11	$3,756.11	$4,375.62
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $3,657.49 / $3,657.49 / $3,657.49	Facility		$3,657.49	$3,657.49	$3,657.49
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $435.92 / $3,657.49 / $3,657.49	Professional		$435.92	$3,657.49	$3,657.49
United Facility/Professional Professional Modifier Low / Median / High Price $1,256.82 / $2,261.53 / $3,430.11	Professional		$1,256.82	$2,261.53	$3,430.11
Univera Facility/Professional Facility Modifier Low / Median / High Price $3,756.11 / $3,756.11 / $3,756.11	Facility		$3,756.11	$3,756.11	$3,756.11
Univera Facility/Professional Professional Modifier Low / Median / High Price $3,756.11 / $3,756.11 / $4,375.62	Professional		$3,756.11	$3,756.11	$4,375.62