Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,977.60 / $3,687.26 / $5,387.91	Professional		$1,977.60	$3,687.26	$5,387.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,212.21 / $2,945.98 / $4,082.19	Professional		$2,212.21	$2,945.98	$4,082.19
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $526.77 / $526.77 / $6,848.01	Facility		$526.77	$526.77	$6,848.01
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $526.77 / $526.77 / $6,848.01	Professional		$526.77	$526.77	$6,848.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,621.85 / $3,621.85 / $3,621.85	Facility		$3,621.85	$3,621.85	$3,621.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $431.69 / $3,621.85 / $3,780.00	Professional		$431.69	$3,621.85	$3,780.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,489.43 / $4,361.79 / $4,361.79	Professional		$3,489.43	$4,361.79	$4,361.79
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,744.23 / $3,744.23 / $4,361.79	Professional		$3,744.23	$3,744.23	$4,361.79
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $3,621.85 / $3,621.85 / $3,621.85	Facility		$3,621.85	$3,621.85	$3,621.85
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $431.69 / $3,621.85 / $3,780.00	Professional		$431.69	$3,621.85	$3,780.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,234.80 / $2,209.01 / $3,403.73	Professional		$1,234.80	$2,209.01	$3,403.73
Univera Facility/Professional Facility Modifier Low / Median / High Price $3,744.23 / $3,744.23 / $3,744.23	Facility		$3,744.23	$3,744.23	$3,744.23
Univera Facility/Professional Professional Modifier Low / Median / High Price $3,744.23 / $3,744.23 / $4,361.79	Professional		$3,744.23	$3,744.23	$4,361.79