Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,698.90 / $6,570.13 / $10,254.53	Professional		$2,698.90	$6,570.13	$10,254.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,545.28 / $5,225.00 / $7,172.60	Professional		$4,545.28	$5,225.00	$7,172.60
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $886.99 / $886.99 / $11,530.87	Facility		$886.99	$886.99	$11,530.87
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $886.99 / $886.99 / $11,530.87	Professional		$886.99	$886.99	$11,530.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,539.60 / $6,539.60 / $6,539.60	Facility		$6,539.60	$6,539.60	$6,539.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $790.06 / $6,539.60 / $6,539.60	Professional		$790.06	$6,539.60	$6,539.60
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $4,762.10 / $5,952.64 / $5,952.64	Professional		$4,762.10	$5,952.64	$5,952.64
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $5,109.84 / $5,109.84 / $5,952.64	Professional		$5,109.84	$5,109.84	$5,952.64
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $6,539.60 / $6,539.60 / $6,539.60	Facility		$6,539.60	$6,539.60	$6,539.60
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $790.06 / $6,539.60 / $6,539.60	Professional		$790.06	$6,539.60	$6,539.60
United Facility/Professional Professional Modifier Low / Median / High Price $2,360.59 / $3,540.88 / $5,751.10	Professional		$2,360.59	$3,540.88	$5,751.10
Univera Facility/Professional Facility Modifier Low / Median / High Price $5,109.84 / $5,109.84 / $5,109.84	Facility		$5,109.84	$5,109.84	$5,109.84
Univera Facility/Professional Professional Modifier Low / Median / High Price $5,109.84 / $5,109.84 / $5,952.64	Professional		$5,109.84	$5,109.84	$5,952.64