Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $938.42 / $5,224.00 / $11,996.00	Facility		$938.42	$5,224.00	$11,996.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,749.00 / $9,877.00 / $16,490.00	Facility		$4,749.00	$9,877.00	$16,490.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $987.27 / $2,644.00 / $12,319.50	Facility		$987.27	$2,644.00	$12,319.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $800.88 / $800.88 / $800.88	Facility		$800.88	$800.88	$800.88
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $762.29 / $2,735.87	Facility		$332.00	$762.29	$2,735.87
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $662.86 / $662.86 / $662.86	Facility		$662.86	$662.86	$662.86
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $23,612.00	Facility		$555.00	$597.00	$23,612.00
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 $842.20 / $842.20 / $3,443.60	Facility		$842.20	$842.20	$3,443.60