Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,454.71 / $3,162.28	Professional		$1,698.24	$2,454.71	$3,162.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,630.27 / $2,630.27	Professional		$1,778.28	$2,630.27	$2,630.27
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $407.38 / $5,248.07	Facility		$407.38	$407.38	$5,248.07
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $407.38 / $5,248.07	Professional		$407.38	$407.38	$5,248.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $2,238.72 / $2,238.72	Facility		$2,238.72	$2,238.72	$2,238.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $2,238.72 / $3,019.95	Professional		$295.12	$2,238.72	$3,019.95
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $3,388.44 / $3,388.44	Professional		$2,691.53	$3,388.44	$3,388.44
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $3,388.44 / $3,388.44	Facility		$3,388.44	$3,388.44	$3,388.44
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $2,951.21 / $3,388.44	Professional		$2,951.21	$2,951.21	$3,388.44
United Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $354.81 / $2,398.83	Facility		$194.98	$354.81	$2,398.83
United Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,819.70 / $2,818.38	Professional		$851.14	$1,819.70	$2,818.38
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $2,951.21 / $3,388.44	Facility		$2,884.03	$2,951.21	$3,388.44
Univera Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $2,951.21 / $3,388.44	Professional		$2,951.21	$2,951.21	$3,388.44