Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,146.00 / $4,629.00 / $10,674.00	Facility		$1,146.00	$4,629.00	$10,674.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,283.00 / $5,279.00 / $11,909.00	Facility		$3,283.00	$5,279.00	$11,909.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,330.36 / $1,330.36 / $37,499.62	Facility		$1,330.36	$1,330.36	$37,499.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,065.64 / $1,065.64 / $1,065.64	Facility		$1,065.64	$1,065.64	$1,065.64
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,012.55 / $2,510.84	Facility		$332.00	$1,012.55	$2,510.84
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $881.74 / $881.74 / $881.74	Facility		$881.74	$881.74	$881.74
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $1,065.64	Facility		$555.00	$597.00	$1,065.64
United Facility/Professional Facility Modifier Low / Median / High Price $2,264.00 / $5,248.00 / $11,200.00	Facility		$2,264.00	$5,248.00	$11,200.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,125.07 / $1,125.07 / $4,363.54	Facility		$1,125.07	$1,125.07	$4,363.54