Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $140.34 / $3,490.00 / $8,134.00	Facility		$140.34	$3,490.00	$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 $141.16 / $141.16 / $4,050.00	Facility		$141.16	$141.16	$4,050.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $117.97 / $117.97 / $14,648.00	Facility		$117.97	$117.97	$14,648.00
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $110.84 / $174.04 / $332.00	Facility		$110.84	$174.04	$332.00
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $96.69 / $96.69 / $96.69	Facility		$96.69	$96.69	$96.69
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $117.97 / $555.00 / $597.00	Facility		$117.97	$555.00	$597.00
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 $122.89 / $122.89 / $171.63	Facility		$122.89	$122.89	$171.63