Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,220.00 / $4,792.00 / $10,170.00	Facility		$2,220.00	$4,792.00	$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 $4,649.39 / $4,649.39 / $37,499.62	Facility		$4,649.39	$4,649.39	$37,499.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,765.00 / $3,755.88 / $7,227.90	Facility		$1,765.00	$3,755.88	$7,227.90
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $3,497.00 / $8,823.95	Facility		$332.00	$3,497.00	$8,823.95
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,033.85 / $3,033.85 / $3,033.85	Facility		$3,033.85	$3,033.85	$3,033.85
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $3,755.88 / $7,227.90	Facility		$597.00	$3,755.88	$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 $3,884.43 / $3,884.43 / $12,609.37	Facility		$3,884.43	$3,884.43	$12,609.37