Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $551.51 / $3,996.00 / $10,965.00	Facility		$551.51	$3,996.00	$10,965.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,046.00 / $7,264.00 / $12,538.00	Facility		$4,046.00	$7,264.00	$12,538.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $561.99 / $1,716.00 / $6,213.00	Facility		$561.99	$1,716.00	$6,213.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $453.25 / $453.25 / $453.25	Facility		$453.25	$453.25	$453.25
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $684.44 / $1,484.34	Facility		$332.00	$684.44	$1,484.34
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $374.01 / $374.01 / $374.01	Facility		$374.01	$374.01	$374.01
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $453.25 / $555.00 / $37,776.00	Facility		$453.25	$555.00	$37,776.00
United Facility/Professional Facility Modifier Low / Median / High Price $2,264.00 / $6,450.00 / $15,090.00	Facility		$2,264.00	$6,450.00	$15,090.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $463.59 / $463.59 / $2,082.34	Facility		$463.59	$463.59	$2,082.34