Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,649.57 / $6,622.14 / $10,066.87	Professional		$2,649.57	$6,622.14	$10,066.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,462.12 / $5,129.43 / $6,770.84	Professional		$4,462.12	$5,129.43	$6,770.84
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $870.76 / $870.76 / $11,319.88	Facility		$870.76	$870.76	$11,319.88
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $870.76 / $870.76 / $11,319.88	Professional		$870.76	$870.76	$11,319.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,818.66 / $3,818.66 / $3,818.66	Facility		$3,818.66	$3,818.66	$3,818.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $775.60 / $3,818.66 / $4,604.04	Professional		$775.60	$3,818.66	$4,604.04
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $4,675.09 / $5,843.86 / $5,843.86	Professional		$4,675.09	$5,843.86	$5,843.86
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $5,016.46 / $5,016.46 / $5,843.86	Professional		$5,016.46	$5,016.46	$5,843.86
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $3,818.66 / $3,818.66 / $3,818.66	Facility		$3,818.66	$3,818.66	$3,818.66
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $775.60 / $3,818.66 / $4,604.04	Professional		$775.60	$3,818.66	$4,604.04
United Facility/Professional Professional Modifier Low / Median / High Price $2,317.39 / $3,476.08 / $5,513.07	Professional		$2,317.39	$3,476.08	$5,513.07
Univera Facility/Professional Facility Modifier Low / Median / High Price $5,016.46 / $5,016.46 / $5,016.46	Facility		$5,016.46	$5,016.46	$5,016.46
Univera Facility/Professional Professional Modifier Low / Median / High Price $5,016.46 / $5,016.46 / $5,843.86	Professional		$5,016.46	$5,016.46	$5,843.86