Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $601.46 / $4,392.00 / $10,024.00	Facility		$601.46	$4,392.00	$10,024.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,385.00 / $4,133.00 / $9,074.00	Facility		$2,385.00	$4,133.00	$9,074.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $637.61 / $1,990.00 / $8,917.50	Facility		$637.61	$1,990.00	$8,917.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $521.15 / $521.15 / $521.15	Facility		$521.15	$521.15	$521.15
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $150.00 / $332.00 / $1,222.25	Facility		$150.00	$332.00	$1,222.25
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $431.94 / $431.94 / $431.94	Facility		$431.94	$431.94	$431.94
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $521.15 / $555.00 / $597.00	Facility		$521.15	$555.00	$597.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,768.00 / $3,961.00 / $8,312.00	Facility		$1,768.00	$3,961.00	$8,312.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $548.74 / $548.74 / $1,480.86	Facility		$548.74	$548.74	$1,480.86