Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $3,090.30 / $7,762.47	Facility		$954.99	$3,090.30	$7,762.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $4,786.30 / $10,232.93	Facility		$2,630.27	$4,786.30	$10,232.93
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,258.93 / $4,073.80	Facility		$954.99	$1,258.93	$4,073.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $50,118.72	Facility		$1,174.90	$1,174.90	$50,118.72
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $812.83 / $812.83 / $812.83	Facility	54	$812.83	$812.83	$812.83
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,047.13 / $2,630.27	Facility		$724.44	$1,047.13	$2,630.27
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $645.65 / $645.65	Facility		$645.65	$645.65	$645.65
Excellus BCBS Facility/Professional Facility Modifier 54 Low / Median / High Price $512.86 / $512.86 / $512.86	Facility	54	$512.86	$512.86	$512.86
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $50,118.72 / $75,857.76	Facility		$724.44	$50,118.72	$75,857.76
United Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $2,754.23 / $4,897.79	Facility		$1,258.93	$2,754.23	$4,897.79
Univera Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $831.76 / $3,162.28	Facility		$562.34	$831.76	$3,162.28
Univera Facility/Professional Facility Modifier 54 Low / Median / High Price $446.68 / $446.68 / $645.65	Facility	54	$446.68	$446.68	$645.65