Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $4,265.80 / $10,000.00	Facility		$616.60	$4,265.80	$10,000.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $5,888.44 / $12,302.69	Facility		$3,388.44	$5,888.44	$12,302.69
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $1,995.26 / $8,912.51	Facility		$645.65	$1,995.26	$8,912.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $758.58 / $50,118.72	Facility		$758.58	$758.58	$50,118.72
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $524.81 / $1,230.27	Facility		$169.82	$524.81	$1,230.27
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $436.52 / $436.52	Facility		$436.52	$436.52	$436.52
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $50,118.72 / $75,857.76	Facility		$436.52	$50,118.72	$75,857.76
United Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $3,981.07 / $8,709.64	Facility		$1,819.70	$3,981.07	$8,709.64
Univera Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $562.34 / $1,995.26	Facility		$380.19	$562.34	$1,995.26