Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $996.80 / $5,824.00 / $13,229.00	Facility		$996.80	$5,824.00	$13,229.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,046.00 / $7,264.00 / $12,538.00	Facility		$4,046.00	$7,264.00	$12,538.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,131.98 / $1,131.98 / $13,477.50	Facility		$1,131.98	$1,131.98	$13,477.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $903.02 / $903.02 / $903.02	Facility		$903.02	$903.02	$903.02
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,048.00 / $2,072.09	Facility		$332.00	$1,048.00	$2,072.09
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $749.06 / $749.06 / $749.06	Facility		$749.06	$749.06	$749.06
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $903.02	Facility		$555.00	$597.00	$903.02
United Facility/Professional Facility Modifier Low / Median / High Price $2,264.00 / $5,963.00 / $14,457.00	Facility		$2,264.00	$5,963.00	$14,457.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $963.33 / $963.33 / $3,334.38	Facility		$963.33	$963.33	$3,334.38