Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $562.24 / $3,352.00 / $10,170.00	Facility		$562.24	$3,352.00	$10,170.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,070.00 / $6,992.00 / $12,173.00	Facility		$4,070.00	$6,992.00	$12,173.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $643.84 / $2,390.00 / $10,957.50	Facility		$643.84	$2,390.00	$10,957.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $773.68 / $773.68 / $6,511.02	Facility		$773.68	$773.68	$6,511.02
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $526.00 / $1,197.41	Facility		$332.00	$526.00	$1,197.41
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $536.53 / $536.53 / $1,040.38	Facility		$536.53	$536.53	$1,040.38
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $773.68 / $7,771.36	Facility		$597.00	$773.68	$7,771.36
United Facility/Professional Facility Modifier Low / Median / High Price $2,160.00 / $5,547.00 / $13,746.00	Facility		$2,160.00	$5,547.00	$13,746.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $554.07 / $554.07 / $1,873.32	Facility		$554.07	$554.07	$1,873.32