Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $2,951.21 / $7,762.47	Facility		$169.82	$2,951.21	$7,762.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $3,630.78 / $5,011.87	Facility		$1,819.70	$3,630.78	$5,011.87
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $169.82 / $4,073.80	Facility		$169.82	$169.82	$4,073.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $208.93 / $50,118.72	Facility		$34.67	$208.93	$50,118.72
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $154.88 / $416.87	Facility		$114.82	$154.88	$416.87
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $114.82 / $114.82	Facility		$114.82	$114.82	$114.82
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $50,118.72 / $75,857.76	Facility		$3,235.94	$50,118.72	$75,857.76
United Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $2,754.23 / $4,897.79	Facility		$1,258.93	$2,754.23	$4,897.79
Univera Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $147.91 / $194.98	Facility		$100.00	$147.91	$194.98