Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,073.49 / $7,137.04 / $11,677.60	Professional		$3,073.49	$7,137.04	$11,677.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5,176.09 / $8,913.34 / $8,913.34	Professional		$5,176.09	$8,913.34	$8,913.34
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,010.09 / $1,010.09 / $13,131.17	Facility		$1,010.09	$1,010.09	$13,131.17
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,010.09 / $1,010.09 / $13,131.17	Professional		$1,010.09	$1,010.09	$13,131.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,447.14 / $7,447.14 / $7,447.14	Facility		$7,447.14	$7,447.14	$7,447.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $899.70 / $7,447.14 / $7,447.14	Professional		$899.70	$7,447.14	$7,447.14
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $5,423.06 / $6,778.82 / $6,778.82	Professional		$5,423.06	$6,778.82	$6,778.82
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $5,819.05 / $5,819.05 / $6,778.82	Professional		$5,819.05	$5,819.05	$6,778.82
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $7,447.14 / $7,447.14 / $7,447.14	Facility		$7,447.14	$7,447.14	$7,447.14
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $899.70 / $7,447.14 / $7,447.14	Professional		$899.70	$7,447.14	$7,447.14
United Facility/Professional Professional Modifier Low / Median / High Price $2,688.19 / $4,032.28 / $6,549.29	Professional		$2,688.19	$4,032.28	$6,549.29
Univera Facility/Professional Facility Modifier Low / Median / High Price $5,819.05 / $5,819.05 / $5,819.05	Facility		$5,819.05	$5,819.05	$5,819.05
Univera Facility/Professional Professional Modifier Low / Median / High Price $5,819.05 / $5,819.05 / $6,778.82	Professional		$5,819.05	$5,819.05	$6,778.82