Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $722.64 / $3,996.00 / $10,170.00	Facility		$722.64	$3,996.00	$10,170.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $3,373.00 / $4,707.00	Facility		$1,689.00	$3,373.00	$4,707.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $848.69 / $848.69 / $6,213.00	Facility		$848.69	$848.69	$6,213.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $684.40 / $684.40 / $684.40	Facility		$684.40	$684.40	$684.40
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $835.00 / $1,587.42	Facility		$332.00	$835.00	$1,587.42
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $556.72 / $556.72 / $556.72	Facility		$556.72	$556.72	$556.72
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $684.40	Facility		$555.00	$597.00	$684.40
United Facility/Professional Facility Modifier Low / Median / High Price $1,252.00 / $2,671.00 / $4,715.00	Facility		$1,252.00	$2,671.00	$4,715.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $712.45 / $712.45 / $2,791.56	Facility		$712.45	$712.45	$2,791.56