Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,220.00 / $4,617.03 / $10,170.00	Facility		$2,220.00	$4,617.03	$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 $4,253.82 / $4,253.82 / $37,499.62	Facility		$4,253.82	$4,253.82	$37,499.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,765.00 / $3,419.36 / $7,227.90	Facility		$1,765.00	$3,419.36	$7,227.90
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $3,060.00 / $8,014.46	Facility		$332.00	$3,060.00	$8,014.46
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,768.25 / $2,768.25 / $2,768.25	Facility		$2,768.25	$2,768.25	$2,768.25
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $3,419.36 / $7,227.90	Facility		$597.00	$3,419.36	$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 $3,539.54 / $3,539.54 / $11,105.35	Facility		$3,539.54	$3,539.54	$11,105.35