Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $3,162.28 / $4,677.35	Professional		$2,137.96	$3,162.28	$4,677.35
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $2,630.27 / $3,467.37	Professional		$2,290.87	$2,630.27	$3,467.37
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $489.78 / $6,309.57	Facility		$489.78	$489.78	$6,309.57
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $489.78 / $6,309.57	Professional		$489.78	$489.78	$6,309.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $2,691.53 / $2,691.53	Facility		$2,691.53	$2,691.53	$2,691.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $2,691.53 / $3,890.45	Professional		$389.05	$2,691.53	$3,890.45
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,311.31 / $4,073.80 / $4,073.80	Professional		$3,311.31	$4,073.80	$4,073.80
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $4,073.80 / $4,073.80	Facility		$4,073.80	$4,073.80	$4,073.80
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $3,548.13 / $4,073.80	Professional		$3,548.13	$3,548.13	$4,073.80
United Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $426.58 / $2,884.03	Facility		$229.09	$426.58	$2,884.03
United Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $2,137.96 / $3,467.37	Professional		$1,122.02	$2,137.96	$3,467.37
Univera Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $3,548.13 / $4,073.80	Facility		$3,467.37	$3,548.13	$4,073.80
Univera Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $3,548.13 / $4,073.80	Professional		$3,548.13	$3,548.13	$4,073.80