Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,243.36 / $7,531.29 / $12,322.75	Professional		$3,243.36	$7,531.29	$12,322.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5,462.02 / $6,278.93 / $8,619.36	Professional		$5,462.02	$6,278.93	$8,619.36
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,065.89 / $1,065.89 / $13,856.57	Facility		$1,065.89	$1,065.89	$13,856.57
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,065.89 / $1,065.89 / $13,856.57	Professional		$1,065.89	$1,065.89	$13,856.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,109.46 / $5,109.46 / $5,109.46	Facility		$5,109.46	$5,109.46	$5,109.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $949.41 / $4,343.04 / $14,831.25	Professional		$949.41	$4,343.04	$14,831.25
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $5,722.74 / $7,153.43 / $7,153.43	Professional		$5,722.74	$7,153.43	$7,153.43
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $6,140.61 / $6,140.61 / $7,153.43	Professional		$6,140.61	$6,140.61	$7,153.43
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $5,109.46 / $5,109.46 / $5,109.46	Facility		$5,109.46	$5,109.46	$5,109.46
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $949.41 / $4,343.04 / $14,831.25	Professional		$949.41	$4,343.04	$14,831.25
United Facility/Professional Professional Modifier Low / Median / High Price $2,836.69 / $4,255.04 / $6,911.11	Professional		$2,836.69	$4,255.04	$6,911.11
Univera Facility/Professional Facility Modifier Low / Median / High Price $6,140.61 / $6,140.61 / $6,140.61	Facility		$6,140.61	$6,140.61	$6,140.61
Univera Facility/Professional Professional Modifier Low / Median / High Price $6,140.61 / $6,140.61 / $7,153.43	Professional		$6,140.61	$6,140.61	$7,153.43