Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $364.34 / $4,258.00 / $10,686.00	Facility		$364.34	$4,258.00	$10,686.00
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 $374.65 / $4,275.50 / $16,534.50	Facility		$374.65	$4,275.50	$16,534.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $299.52 / $299.52 / $13,296.25	Facility		$299.52	$299.52	$13,296.25
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $294.00 / $449.76 / $930.70	Facility		$294.00	$449.76	$930.70
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $245.77 / $245.77 / $1,522.50	Facility		$245.77	$245.77	$1,522.50
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $299.52 / $597.00 / $13,296.25	Facility		$299.52	$597.00	$13,296.25
United Facility/Professional Facility Modifier Low / Median / High Price $1,694.00 / $4,893.00 / $11,176.00	Facility		$1,694.00	$4,893.00	$11,176.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $315.75 / $315.75 / $1,362.51	Facility		$315.75	$315.75	$1,362.51