Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $3,090.30 / $4,365.16	Facility		$1,412.54	$3,090.30	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,187.76 / $3,548.13	Professional		$1,659.59	$2,187.76	$3,548.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $3,890.45 / $7,762.47	Facility		$3,890.45	$3,890.45	$7,762.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $2,344.23 / $6,606.93	Professional		$2,344.23	$2,344.23	$6,606.93
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $3,162.28 / $3,162.28	Facility		$2,951.21	$3,162.28	$3,162.28
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $3,162.28 / $3,162.28	Professional		$3,162.28	$3,162.28	$3,162.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $6,760.83 / $6,760.83	Facility		$3,311.31	$6,760.83	$6,760.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $2,398.83 / $5,888.44	Professional		$2,398.83	$2,398.83	$5,888.44
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $6,456.54 / $15,135.61	Facility		$3,890.45	$6,456.54	$15,135.61
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $4,073.80 / $7,585.78	Professional		$2,398.83	$4,073.80	$7,585.78
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $2,754.23 / $2,884.03	Facility		$2,754.23	$2,754.23	$2,884.03
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $2,454.71 / $2,754.23	Professional		$2,290.87	$2,454.71	$2,754.23
United Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $4,466.84 / $5,248.07	Facility		$1,584.89	$4,466.84	$5,248.07
United Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $2,041.74 / $3,235.94	Professional		$1,258.93	$2,041.74	$3,235.94
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $2,290.87 / $2,884.03	Facility		$2,187.76	$2,290.87	$2,884.03
Univera Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $2,454.71 / $2,754.23	Professional		$2,290.87	$2,454.71	$2,754.23