Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,870.89 / $5,439.61 / $8,040.45	Professional		$2,870.89	$5,439.61	$8,040.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,294.80 / $4,388.00 / $5,790.84	Professional		$3,294.80	$4,388.00	$5,790.84
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $777.30 / $777.30 / $10,104.90	Facility		$777.30	$777.30	$10,104.90
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $777.30 / $777.30 / $10,104.90	Professional		$777.30	$777.30	$10,104.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,470.13 / $5,470.13 / $5,470.13	Facility		$5,470.13	$5,470.13	$5,470.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $651.96 / $5,470.13 / $6,026.40	Professional		$651.96	$5,470.13	$6,026.40
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $5,065.59 / $6,331.99 / $6,331.99	Professional		$5,065.59	$6,331.99	$6,331.99
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $5,435.49 / $5,435.49 / $6,331.99	Professional		$5,435.49	$5,435.49	$6,331.99
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $5,470.13 / $5,470.13 / $5,470.13	Facility		$5,470.13	$5,470.13	$5,470.13
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $651.96 / $5,470.13 / $6,026.40	Professional		$651.96	$5,470.13	$6,026.40
United Facility/Professional Professional Modifier Low / Median / High Price $1,842.59 / $3,510.40 / $5,079.09	Professional		$1,842.59	$3,510.40	$5,079.09
Univera Facility/Professional Facility Modifier Low / Median / High Price $5,435.49 / $5,435.49 / $5,435.49	Facility		$5,435.49	$5,435.49	$5,435.49
Univera Facility/Professional Professional Modifier Low / Median / High Price $5,435.49 / $5,435.49 / $6,331.99	Professional		$5,435.49	$5,435.49	$6,331.99