Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,604.09 / $10,691.21 / $17,493.08	Professional		$4,604.09	$10,691.21	$17,493.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8,296.50 / $10,606.94 / $12,235.72	Professional		$8,296.50	$10,606.94	$12,235.72
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,513.11 / $1,513.11 / $19,670.43	Facility		$1,513.11	$1,513.11	$19,670.43
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,513.11 / $1,513.11 / $19,670.43	Professional		$1,513.11	$1,513.11	$19,670.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11,155.72 / $11,155.72 / $11,155.72	Facility		$11,155.72	$11,155.72	$11,155.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,347.76 / $11,155.72 / $11,155.72	Professional		$1,347.76	$11,155.72	$11,155.72
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $8,123.71 / $10,154.64 / $10,154.64	Professional		$8,123.71	$10,154.64	$10,154.64
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $8,716.91 / $8,716.91 / $10,154.64	Professional		$8,716.91	$8,716.91	$10,154.64
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $11,155.72 / $11,155.72 / $11,155.72	Facility		$11,155.72	$11,155.72	$11,155.72
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,347.76 / $11,155.72 / $11,155.72	Professional		$1,347.76	$11,155.72	$11,155.72
United Facility/Professional Professional Modifier Low / Median / High Price $4,026.91 / $6,040.36 / $9,734.10	Professional		$4,026.91	$6,040.36	$9,734.10
Univera Facility/Professional Facility Modifier Low / Median / High Price $8,716.91 / $8,716.91 / $8,716.91	Facility		$8,716.91	$8,716.91	$8,716.91
Univera Facility/Professional Professional Modifier Low / Median / High Price $8,716.91 / $8,716.91 / $10,154.64	Professional		$8,716.91	$8,716.91	$10,154.64