Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $631.66 / $4,970.28 / $9,267.00	Facility		$631.66	$4,970.28	$9,267.00
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 $617.13 / $2,390.00 / $16,534.50	Facility		$617.13	$2,390.00	$16,534.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $735.65 / $735.65 / $13,296.25	Facility		$735.65	$735.65	$13,296.25
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $567.00 / $1,075.39	Facility		$332.00	$567.00	$1,075.39
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $639.45 / $639.45 / $3,681.69	Facility		$639.45	$639.45	$3,681.69
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $735.65 / $13,296.25	Facility		$597.00	$735.65	$13,296.25
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 $512.77 / $512.77 / $1,081.24	Facility		$512.77	$512.77	$1,081.24