Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $3,388.44 / $4,897.79	Professional		$2,344.23	$3,388.44	$4,897.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $2,951.21 / $3,890.45	Professional		$2,290.87	$2,951.21	$3,890.45
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $524.81 / $6,918.31	Facility		$524.81	$524.81	$6,918.31
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $524.81 / $6,918.31	Professional		$524.81	$524.81	$6,918.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $3,630.78 / $3,630.78	Facility		$3,630.78	$3,630.78	$3,630.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $3,630.78 / $3,801.89	Professional		$436.52	$3,630.78	$3,801.89
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $4,365.16 / $4,365.16	Professional		$3,467.37	$4,365.16	$4,365.16
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,365.16 / $4,365.16 / $4,365.16	Facility		$4,365.16	$4,365.16	$4,365.16
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,715.35 / $3,715.35 / $4,365.16	Professional		$3,715.35	$3,715.35	$4,365.16
United Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $467.74 / $3,090.30	Facility		$251.19	$467.74	$3,090.30
United Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $2,290.87 / $3,890.45	Professional		$1,230.27	$2,290.87	$3,890.45
Univera Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $3,715.35 / $4,365.16	Facility		$3,630.78	$3,715.35	$4,365.16
Univera Facility/Professional Professional Modifier Low / Median / High Price $3,715.35 / $3,715.35 / $4,365.16	Professional		$3,715.35	$3,715.35	$4,365.16