Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,326.59 / $5,813.76 / $8,839.82	Professional		$2,326.59	$5,813.76	$8,839.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,918.18 / $4,504.27 / $6,183.17	Professional		$3,918.18	$4,504.27	$6,183.17
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $764.62 / $764.62 / $9,940.06	Facility		$764.62	$764.62	$9,940.06
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $764.62 / $764.62 / $9,940.06	Professional		$764.62	$764.62	$9,940.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,087.00 / $3,087.00 / $3,087.00	Facility		$3,087.00	$3,087.00	$3,087.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,623.95 / $3,087.00 / $3,790.53	Professional		$2,623.95	$3,087.00	$3,790.53
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $4,105.21 / $5,131.51 / $5,131.51	Professional		$4,105.21	$5,131.51	$5,131.51
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,404.97 / $4,404.97 / $5,131.51	Professional		$4,404.97	$4,404.97	$5,131.51
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $3,087.00 / $3,087.00 / $3,087.00	Facility		$3,087.00	$3,087.00	$3,087.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $2,623.95 / $3,087.00 / $3,790.53	Professional		$2,623.95	$3,087.00	$3,790.53
United Facility/Professional Professional Modifier Low / Median / High Price $2,034.91 / $3,198.56 / $4,823.14	Professional		$2,034.91	$3,198.56	$4,823.14
Univera Facility/Professional Facility Modifier Low / Median / High Price $4,404.97 / $4,404.97 / $4,404.97	Facility		$4,404.97	$4,404.97	$4,404.97
Univera Facility/Professional Professional Modifier Low / Median / High Price $4,404.97 / $4,404.97 / $5,131.51	Professional		$4,404.97	$4,404.97	$5,131.51