Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,819.00 / $5,324.00 / $22,858.00	Facility		$1,819.00	$5,324.00	$22,858.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,614.00 / $7,015.00 / $30,866.00	Facility		$3,614.00	$7,015.00	$30,866.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,720.76 / $2,720.76 / $37,499.62	Facility		$2,720.76	$2,720.76	$37,499.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,207.21 / $7,227.90 / $27,393.00	Facility		$2,207.21	$7,227.90	$27,393.00
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $2,215.00 / $8,992.90	Facility		$332.00	$2,215.00	$8,992.90
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,786.37 / $1,786.37 / $1,786.37	Facility		$1,786.37	$1,786.37	$1,786.37
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $1,538.00 / $7,227.90 / $31,478.00	Facility		$1,538.00	$7,227.90	$31,478.00
United Facility/Professional Facility Modifier Low / Median / High Price $996.00 / $4,754.00 / $38,980.00	Facility		$996.00	$4,754.00	$38,980.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,287.13 / $2,287.13 / $6,991.18	Facility		$2,287.13	$2,287.13	$6,991.18