Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,819.00 / $3,599.00 / $10,170.00	Facility		$1,819.00	$3,599.00	$10,170.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,283.00 / $4,975.00 / $11,448.00	Facility		$3,283.00	$4,975.00	$11,448.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,703.84 / $2,703.84 / $37,499.62	Facility		$2,703.84	$2,703.84	$37,499.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,765.00 / $2,193.30 / $7,227.90	Facility		$1,765.00	$2,193.30	$7,227.90
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $2,105.00 / $5,155.63	Facility		$332.00	$2,105.00	$5,155.63
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,775.28 / $1,775.28 / $1,775.28	Facility		$1,775.28	$1,775.28	$1,775.28
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $2,193.30 / $7,227.90	Facility		$597.00	$2,193.30	$7,227.90
United Facility/Professional Facility Modifier Low / Median / High Price $996.00 / $4,194.00 / $9,020.04	Facility		$996.00	$4,194.00	$9,020.04
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,270.55 / $2,270.55 / $5,502.68	Facility		$2,270.55	$2,270.55	$5,502.68