Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,222.71 / $8,054.77 / $12,244.65	Professional		$3,222.71	$8,054.77	$12,244.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5,427.41 / $6,239.16 / $8,564.66	Professional		$5,427.41	$6,239.16	$8,564.66
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,059.13 / $1,059.13 / $13,768.69	Facility		$1,059.13	$1,059.13	$13,768.69
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,059.13 / $1,059.13 / $13,768.69	Professional		$1,059.13	$1,059.13	$13,768.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,978.93 / $4,978.93 / $4,978.93	Facility		$4,978.93	$4,978.93	$4,978.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,232.09 / $4,978.93 / $5,609.52	Professional		$4,232.09	$4,978.93	$5,609.52
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $5,686.38 / $7,107.98 / $7,107.98	Professional		$5,686.38	$7,107.98	$7,107.98
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $6,101.60 / $6,101.60 / $7,107.98	Professional		$6,101.60	$6,101.60	$7,107.98
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $4,978.93 / $4,978.93 / $4,978.93	Facility		$4,978.93	$4,978.93	$4,978.93
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $4,232.09 / $4,978.93 / $5,609.52	Professional		$4,232.09	$4,978.93	$5,609.52
United Facility/Professional Professional Modifier Low / Median / High Price $2,818.72 / $4,228.08 / $6,926.20	Professional		$2,818.72	$4,228.08	$6,926.20
Univera Facility/Professional Facility Modifier Low / Median / High Price $6,101.60 / $6,101.60 / $6,101.60	Facility		$6,101.60	$6,101.60	$6,101.60
Univera Facility/Professional Professional Modifier Low / Median / High Price $6,101.60 / $6,101.60 / $7,107.98	Professional		$6,101.60	$6,101.60	$7,107.98