Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $933.25 / $1,258.93	Professional		$512.86	$933.25	$1,258.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $2,570.40	Professional		$1,202.26	$1,202.26	$2,570.40
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $134.90 / $1,737.80	Facility		$134.90	$134.90	$1,737.80
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $134.90 / $1,737.80	Professional		$134.90	$134.90	$1,737.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $912.01 / $912.01	Facility		$912.01	$912.01	$912.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $912.01 / $977.24	Professional		$138.04	$912.01	$977.24
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,230.27 / $1,230.27	Professional		$977.24	$1,230.27	$1,230.27
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $1,230.27	Facility		$1,230.27	$1,230.27	$1,230.27
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,174.90 / $1,230.27	Professional		$1,096.48	$1,174.90	$1,230.27
United Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $676.08 / $1,174.90	Facility		$72.44	$676.08	$1,174.90
United Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $870.96 / $1,318.26	Professional		$537.03	$870.96	$1,318.26
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,096.48 / $1,230.27	Facility		$1,071.52	$1,096.48	$1,230.27
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,174.90 / $1,230.27	Professional		$1,096.48	$1,174.90	$1,230.27