Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,801.89 / $6,309.57 / $9,120.11	Professional		$3,801.89	$6,309.57	$9,120.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,570.88 / $5,128.61 / $5,128.61	Professional		$4,570.88	$5,128.61	$5,128.61
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $13,182.57	Facility		$1,000.00	$1,000.00	$13,182.57
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $13,182.57	Professional		$1,000.00	$1,000.00	$13,182.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,943.28 / $7,943.28 / $7,943.28	Facility		$7,943.28	$7,943.28	$7,943.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $7,943.28 / $7,943.28	Professional		$933.25	$7,943.28	$7,943.28
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $5,623.41 / $6,918.31 / $6,918.31	Professional		$5,623.41	$6,918.31	$6,918.31
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,918.31 / $6,918.31 / $6,918.31	Facility		$6,918.31	$6,918.31	$6,918.31
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $6,025.60 / $6,025.60 / $6,918.31	Professional		$6,025.60	$6,025.60	$6,918.31
United Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $891.25 / $6,025.60	Facility		$478.63	$891.25	$6,025.60
United Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $4,073.80 / $6,606.93	Professional		$2,398.83	$4,073.80	$6,606.93
Univera Facility/Professional Facility Modifier Low / Median / High Price $5,888.44 / $6,025.60 / $6,918.31	Facility		$5,888.44	$6,025.60	$6,918.31
Univera Facility/Professional Professional Modifier Low / Median / High Price $6,025.60 / $6,025.60 / $6,918.31	Professional		$6,025.60	$6,025.60	$6,918.31