Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $2,398.83 / $3,235.94	Professional		$1,318.26	$2,398.83	$3,235.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $3,019.95 / $6,606.93	Professional		$3,019.95	$3,019.95	$6,606.93
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $338.84 / $4,466.84	Facility		$338.84	$338.84	$4,466.84
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $338.84 / $4,466.84	Professional		$338.84	$338.84	$4,466.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $2,398.83 / $2,398.83	Facility		$2,398.83	$2,398.83	$2,398.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $2,398.83 / $2,570.40	Professional		$354.81	$2,398.83	$2,570.40
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $3,090.30 / $3,090.30	Professional		$2,511.89	$3,090.30	$3,090.30
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $3,090.30 / $3,090.30	Facility		$3,090.30	$3,090.30	$3,090.30
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $2,951.21 / $3,090.30	Professional		$2,818.38	$2,951.21	$3,090.30
United Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $1,737.80 / $3,019.95	Facility		$186.21	$1,737.80	$3,019.95
United Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $2,238.72 / $3,388.44	Professional		$1,348.96	$2,238.72	$3,388.44
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $2,818.38 / $3,090.30	Facility		$2,754.23	$2,818.38	$3,090.30
Univera Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $2,951.21 / $3,090.30	Professional		$2,818.38	$2,951.21	$3,090.30