Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $737.84 / $4,648.00 / $11,080.00	Facility		$737.84	$4,648.00	$11,080.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,248.00 / $5,196.00 / $11,909.00	Facility		$3,248.00	$5,196.00	$11,909.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $797.94 / $2,390.00 / $10,957.50	Facility		$797.94	$2,390.00	$10,957.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $643.19 / $643.19 / $643.19	Facility		$643.19	$643.19	$643.19
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $852.00 / $1,511.78	Facility		$332.00	$852.00	$1,511.78
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $529.51 / $529.51 / $529.51	Facility		$529.51	$529.51	$529.51
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $643.19	Facility		$555.00	$597.00	$643.19
United Facility/Professional Facility Modifier Low / Median / High Price $2,264.00 / $5,248.00 / $11,200.00	Facility		$2,264.00	$5,248.00	$11,200.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $682.03 / $682.03 / $2,583.96	Facility		$682.03	$682.03	$2,583.96