Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $452.29 / $3,841.00 / $10,686.00	Facility		$452.29	$3,841.00	$10,686.00
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 $495.88 / $1,716.00 / $6,213.00	Facility		$495.88	$1,716.00	$6,213.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $404.35 / $404.35 / $404.35	Facility		$404.35	$404.35	$404.35
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $498.00 / $948.89	Facility		$332.00	$498.00	$948.89
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $335.03 / $335.03 / $335.03	Facility		$335.03	$335.03	$335.03
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $404.35 / $555.00 / $597.00	Facility		$404.35	$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 $425.93 / $425.93 / $1,552.69	Facility		$425.93	$425.93	$1,552.69