Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $644.88 / $3,917.00 / $10,170.00	Facility		$644.88	$3,917.00	$10,170.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,248.00 / $5,196.00 / $11,909.00	Facility		$3,248.00	$5,196.00	$11,909.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $713.54 / $1,716.00 / $6,213.00	Facility		$713.54	$1,716.00	$6,213.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $576.58 / $576.58 / $576.58	Facility		$576.58	$576.58	$576.58
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $655.00 / $1,355.20	Facility		$332.00	$655.00	$1,355.20
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $477.69 / $477.69 / $477.69	Facility		$477.69	$477.69	$477.69
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $576.58 / $597.00	Facility		$555.00	$576.58	$597.00
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 $607.77 / $607.77 / $2,327.73	Facility		$607.77	$607.77	$2,327.73