Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $2,187.76 / $2,754.23	Professional		$1,412.54	$2,187.76	$2,754.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,905.46 / $2,398.83	Professional		$1,479.11	$1,905.46	$2,398.83
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 $281.84 / $2,398.83 / $2,454.71	Professional		$281.84	$2,398.83	$2,454.71
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,630.27 / $2,630.27	Professional		$2,089.30	$2,630.27	$2,630.27
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $2,630.27 / $2,630.27	Facility		$2,630.27	$2,630.27	$2,630.27
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $2,238.72 / $2,630.27	Professional		$2,238.72	$2,238.72	$2,630.27
United Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $302.00 / $1,995.26	Facility		$158.49	$302.00	$1,995.26
United Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,412.54 / $2,290.87	Professional		$758.58	$1,412.54	$2,290.87
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $2,238.72 / $2,630.27	Facility		$2,187.76	$2,238.72	$2,630.27
Univera Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $2,238.72 / $2,630.27	Professional		$2,238.72	$2,238.72	$2,630.27