Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,597.50 / $6,031.68 / $9,868.98	Professional		$2,597.50	$6,031.68	$9,868.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,374.41 / $5,028.67 / $6,637.84	Professional		$4,374.41	$5,028.67	$6,637.84
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $853.64 / $853.64 / $11,097.32	Facility		$853.64	$853.64	$11,097.32
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $853.64 / $853.64 / $11,097.32	Professional		$853.64	$853.64	$11,097.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $775.57 / $4,321.80 / $4,321.80	Facility		$775.57	$4,321.80	$4,321.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $760.36 / $3,673.53 / $11,880.00	Professional		$760.36	$3,673.53	$11,880.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $4,583.22 / $5,729.02 / $6,878.05	Professional		$4,583.22	$5,729.02	$6,878.05
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,917.89 / $4,917.89 / $5,729.02	Professional		$4,917.89	$4,917.89	$5,729.02
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $775.57 / $4,321.80 / $4,321.80	Facility		$775.57	$4,321.80	$4,321.80
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $760.36 / $3,896.82 / $11,880.00	Professional		$760.36	$3,896.82	$11,880.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,271.84 / $3,570.94 / $5,679.60	Professional		$2,271.84	$3,570.94	$5,679.60
Univera Facility/Professional Facility Modifier Low / Median / High Price $4,917.89 / $4,917.89 / $4,917.89	Facility		$4,917.89	$4,917.89	$4,917.89
Univera Facility/Professional Professional Modifier Low / Median / High Price $4,917.89 / $4,917.89 / $5,729.02	Professional		$4,917.89	$4,917.89	$5,729.02