Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $672.71 / $6,894.00 / $11,719.00	Facility		$672.71	$6,894.00	$11,719.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,499.00 / $7,264.00 / $13,780.00	Facility		$4,499.00	$7,264.00	$13,780.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $628.54 / $1,254.00 / $10,957.50	Facility		$628.54	$1,254.00	$10,957.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $766.05 / $766.05 / $13,296.25	Facility		$766.05	$766.05	$13,296.25
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $515.00 / $1,133.39	Facility		$332.00	$515.00	$1,133.39
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,522.50 / $1,522.50 / $5,197.60	Facility		$1,522.50	$1,522.50	$5,197.60
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $766.05 / $19,061.23	Facility		$597.00	$766.05	$19,061.23
United Facility/Professional Facility Modifier Low / Median / High Price $2,264.00 / $6,344.00 / $16,403.00	Facility		$2,264.00	$6,344.00	$16,403.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $528.13 / $528.13 / $1,522.50	Facility		$528.13	$528.13	$1,522.50