Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,730.11 / $5,125.00 / $12,075.00	Facility		$1,730.11	$5,125.00	$12,075.00
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 $2,022.77 / $3,478.50 / $13,477.50	Facility		$2,022.77	$3,478.50	$13,477.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,584.80 / $1,584.80 / $10,297.11	Facility		$1,584.80	$1,584.80	$10,297.11
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $630.00 / $3,659.96	Facility		$332.00	$630.00	$3,659.96
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,313.45 / $1,313.45 / $1,395.63	Facility		$1,313.45	$1,313.45	$1,395.63
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $1,584.80 / $10,297.11	Facility		$597.00	$1,584.80	$10,297.11
United Facility/Professional Facility Modifier Low / Median / High Price $2,092.00 / $5,547.00 / $12,509.00	Facility		$2,092.00	$5,547.00	$12,509.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,395.63 / $1,690.88 / $4,349.28	Facility		$1,395.63	$1,690.88	$4,349.28