Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $879.68 / $4,792.00 / $11,080.00	Facility		$879.68	$4,792.00	$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 $933.14 / $2,390.00 / $10,957.50	Facility		$933.14	$2,390.00	$10,957.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $763.68 / $763.68 / $763.68	Facility		$763.68	$763.68	$763.68
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $845.00 / $1,798.61	Facility		$332.00	$845.00	$1,798.61
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $632.27 / $632.27 / $632.27	Facility		$632.27	$632.27	$632.27
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $763.68	Facility		$555.00	$597.00	$763.68
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 $805.95 / $805.95 / $2,931.28	Facility		$805.95	$805.95	$2,931.28