Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $3,467.37 / $4,677.35	Professional		$1,905.46	$3,467.37	$4,677.35
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,365.16 / $4,365.16 / $9,549.93	Professional		$4,365.16	$4,365.16	$9,549.93
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $489.78 / $6,456.54	Facility		$489.78	$489.78	$6,456.54
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $489.78 / $6,456.54	Professional		$489.78	$489.78	$6,456.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $1,659.59	Facility		$1,659.59	$1,659.59	$1,659.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $1,659.59 / $1,778.28	Professional		$512.86	$1,659.59	$1,778.28
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,630.78 / $4,570.88 / $4,570.88	Professional		$3,630.78	$4,570.88	$4,570.88
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $4,570.88 / $4,570.88	Facility		$4,570.88	$4,570.88	$4,570.88
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,073.80 / $4,265.80 / $4,570.88	Professional		$4,073.80	$4,265.80	$4,570.88
United Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $2,511.89 / $4,365.16	Facility		$269.15	$2,511.89	$4,365.16
United Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $3,235.94 / $4,897.79	Professional		$1,949.84	$3,235.94	$4,897.79
Univera Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $4,073.80 / $4,570.88	Facility		$3,981.07	$4,073.80	$4,570.88
Univera Facility/Professional Professional Modifier Low / Median / High Price $4,073.80 / $4,265.80 / $4,570.88	Professional		$4,073.80	$4,265.80	$4,570.88