Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,413.79 / $10,249.27 / $16,769.93	Professional		$4,413.79	$10,249.27	$16,769.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7,433.20 / $8,544.87 / $11,276.66	Professional		$7,433.20	$8,544.87	$11,276.66
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,450.56 / $1,450.56 / $18,857.28	Facility		$1,450.56	$1,450.56	$18,857.28
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,450.56 / $1,450.56 / $18,857.28	Professional		$1,450.56	$1,450.56	$18,857.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10,694.63 / $10,694.63 / $10,694.63	Facility		$10,694.63	$10,694.63	$10,694.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,292.04 / $10,694.63 / $10,694.63	Professional		$1,292.04	$10,694.63	$10,694.63
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $7,787.99 / $9,734.99 / $9,734.99	Professional		$7,787.99	$9,734.99	$9,734.99
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $8,356.67 / $8,356.67 / $9,734.99	Professional		$8,356.67	$8,356.67	$9,734.99
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $10,694.63 / $10,694.63 / $10,694.63	Facility		$10,694.63	$10,694.63	$10,694.63
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,292.04 / $10,694.63 / $10,694.63	Professional		$1,292.04	$10,694.63	$10,694.63
United Facility/Professional Professional Modifier Low / Median / High Price $3,860.43 / $5,790.64 / $9,149.77	Professional		$3,860.43	$5,790.64	$9,149.77
Univera Facility/Professional Facility Modifier Low / Median / High Price $8,356.67 / $8,356.67 / $8,356.67	Facility		$8,356.67	$8,356.67	$8,356.67
Univera Facility/Professional Professional Modifier Low / Median / High Price $8,356.67 / $8,356.67 / $9,734.99	Professional		$8,356.67	$8,356.67	$9,734.99