Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5,478.92 / $14,383.53 / $20,816.73	Professional		$5,478.92	$14,383.53	$20,816.73
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9,226.98 / $15,910.41 / $15,910.41	Professional		$9,226.98	$15,910.41	$15,910.41
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,800.60 / $1,800.60 / $23,407.80	Facility		$1,800.60	$1,800.60	$23,407.80
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,800.60 / $1,800.60 / $23,407.80	Professional		$1,800.60	$1,800.60	$23,407.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13,275.38 / $13,275.38 / $13,275.38	Facility		$13,275.38	$13,275.38	$13,275.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,603.83 / $13,275.38 / $13,275.38	Professional		$1,603.83	$13,275.38	$13,275.38
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $9,667.32 / $12,084.15 / $12,084.15	Professional		$9,667.32	$12,084.15	$12,084.15
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $10,373.23 / $10,373.23 / $12,084.15	Professional		$10,373.23	$10,373.23	$12,084.15
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $13,275.38 / $13,275.38 / $13,275.38	Facility		$13,275.38	$13,275.38	$13,275.38
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,603.83 / $13,275.38 / $13,275.38	Professional		$1,603.83	$13,275.38	$13,275.38
United Facility/Professional Professional Modifier Low / Median / High Price $4,792.03 / $7,188.04 / $11,674.92	Professional		$4,792.03	$7,188.04	$11,674.92
Univera Facility/Professional Facility Modifier Low / Median / High Price $10,373.23 / $10,373.23 / $10,373.23	Facility		$10,373.23	$10,373.23	$10,373.23
Univera Facility/Professional Professional Modifier Low / Median / High Price $10,373.23 / $10,373.23 / $12,084.15	Professional		$10,373.23	$10,373.23	$12,084.15