Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $911.83 / $4,260.00 / $10,024.00	Facility		$911.83	$4,260.00	$10,024.00
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 $926.03 / $1,990.00 / $8,917.50	Facility		$926.03	$1,990.00	$8,917.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $751.78 / $751.78 / $751.78	Facility		$751.78	$751.78	$751.78
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $865.00 / $1,767.15	Facility		$332.00	$865.00	$1,767.15
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $622.87 / $622.87 / $622.87	Facility		$622.87	$622.87	$622.87
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $751.78	Facility		$555.00	$597.00	$751.78
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 $793.95 / $793.95 / $4,124.53	Facility		$793.95	$793.95	$4,124.53