Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,890.45 / $7,585.78 / $10,232.93	Professional		$3,890.45	$7,585.78	$10,232.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5,495.41 / $6,309.57 / $8,709.64	Professional		$5,495.41	$6,309.57	$8,709.64
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,071.52 / $13,803.84	Facility		$1,071.52	$1,071.52	$13,803.84
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,071.52 / $13,803.84	Professional		$1,071.52	$1,071.52	$13,803.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,128.61 / $5,128.61 / $5,128.61	Facility		$5,128.61	$5,128.61	$5,128.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $5,128.61 / $5,495.41	Professional		$954.99	$5,128.61	$5,495.41
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $5,754.40 / $7,079.46 / $7,079.46	Professional		$5,754.40	$7,079.46	$7,079.46
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,079.46 / $7,079.46 / $7,079.46	Facility		$7,079.46	$7,079.46	$7,079.46
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $6,165.95 / $6,165.95 / $7,079.46	Professional		$6,165.95	$6,165.95	$7,079.46
United Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $851.14 / $5,370.32	Facility		$426.58	$851.14	$5,370.32
United Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $4,265.80 / $7,079.46	Professional		$2,818.38	$4,265.80	$7,079.46
Univera Facility/Professional Facility Modifier Low / Median / High Price $6,025.60 / $6,165.95 / $7,079.46	Facility		$6,025.60	$6,165.95	$7,079.46
Univera Facility/Professional Professional Modifier Low / Median / High Price $6,165.95 / $6,165.95 / $7,079.46	Professional		$6,165.95	$6,165.95	$7,079.46