Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,516.00 / $5,699.00 / $12,793.00	Facility		$1,516.00	$5,699.00	$12,793.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,977.00 / $9,202.00 / $15,596.00	Facility		$4,977.00	$9,202.00	$15,596.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,646.31 / $4,275.50 / $16,534.50	Facility		$1,646.31	$4,275.50	$16,534.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,340.50 / $1,340.50 / $12,209.00	Facility		$1,340.50	$1,340.50	$12,209.00
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,405.68 / $3,080.52	Facility		$332.00	$1,405.68	$3,080.52
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,098.34 / $1,098.34 / $1,522.50	Facility		$1,098.34	$1,098.34	$1,522.50
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $1,340.50 / $13,042.17	Facility		$597.00	$1,340.50	$13,042.17
United Facility/Professional Facility Modifier Low / Median / High Price $2,341.00 / $6,130.00 / $13,256.00	Facility		$2,341.00	$6,130.00	$13,256.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,257.41 / $1,257.41 / $1,522.50	Facility		$1,257.41	$1,257.41	$1,522.50