Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,515.61 / $3,797.00 / $10,296.00	Facility		$1,515.61	$3,797.00	$10,296.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,283.00 / $5,434.00 / $12,228.00	Facility		$3,283.00	$5,434.00	$12,228.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,762.01 / $1,762.01 / $37,499.62	Facility		$1,762.01	$1,762.01	$37,499.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,431.62 / $1,431.62 / $1,431.62	Facility		$1,431.62	$1,431.62	$1,431.62
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,730.00 / $3,339.97	Facility		$332.00	$1,730.00	$3,339.97
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,169.41 / $1,169.41 / $1,169.41	Facility		$1,169.41	$1,169.41	$1,169.41
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $1,431.62	Facility		$555.00	$597.00	$1,431.62
United Facility/Professional Facility Modifier Low / Median / High Price $2,673.00 / $7,719.00 / $18,532.00	Facility		$2,673.00	$7,719.00	$18,532.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,502.67 / $1,502.67 / $5,780.66	Facility		$1,502.67	$1,502.67	$5,780.66