Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,381.03 / $4,415.93 / $6,427.74	Professional		$2,381.03	$4,415.93	$6,427.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,663.52 / $3,497.21 / $4,914.83	Professional		$2,663.52	$3,497.21	$4,914.83
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $630.80 / $630.80 / $8,200.53	Facility		$630.80	$630.80	$8,200.53
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $630.80 / $630.80 / $8,200.53	Professional		$630.80	$630.80	$8,200.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,303.28 / $4,303.28 / $4,303.28	Facility		$4,303.28	$4,303.28	$4,303.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $512.91 / $4,303.28 / $4,320.00	Professional		$512.91	$4,303.28	$4,320.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $4,201.28 / $5,251.60 / $5,251.60	Professional		$4,201.28	$5,251.60	$5,251.60
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,508.05 / $4,508.05 / $5,251.60	Professional		$4,508.05	$4,508.05	$5,251.60
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $4,303.28 / $4,303.28 / $4,303.28	Facility		$4,303.28	$4,303.28	$4,303.28
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $512.91 / $4,303.28 / $4,320.00	Professional		$512.91	$4,303.28	$4,320.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,473.15 / $2,599.87 / $3,935.35	Professional		$1,473.15	$2,599.87	$3,935.35
Univera Facility/Professional Facility Modifier Low / Median / High Price $4,508.05 / $4,508.05 / $4,508.05	Facility		$4,508.05	$4,508.05	$4,508.05
Univera Facility/Professional Professional Modifier Low / Median / High Price $4,508.05 / $4,508.05 / $5,251.60	Professional		$4,508.05	$4,508.05	$5,251.60