Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.04 / $3,419.00 / $8,134.00	Facility		$199.04	$3,419.00	$8,134.00
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 $196.33 / $196.33 / $4,050.00	Facility		$196.33	$196.33	$4,050.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $161.52 / $161.52 / $14,648.00	Facility		$161.52	$161.52	$14,648.00
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $150.90 / $217.80 / $375.10	Facility		$150.90	$217.80	$375.10
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $132.00 / $132.00 / $132.00	Facility		$132.00	$132.00	$132.00
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $161.52 / $555.00 / $597.00	Facility		$161.52	$555.00	$597.00
United Facility/Professional Facility Modifier Low / Median / High Price $964.00 / $2,826.00 / $4,851.00	Facility		$964.00	$2,826.00	$4,851.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $168.31 / $168.31 / $238.94	Facility		$168.31	$168.31	$238.94