Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $437.64 / $3,938.00 / $10,170.00	Facility		$437.64	$3,938.00	$10,170.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,977.00 / $10,673.00 / $26,158.00	Facility		$4,977.00	$10,673.00	$26,158.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $450.41 / $1,716.00 / $6,213.00	Facility		$450.41	$1,716.00	$6,213.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $355.25 / $355.25 / $355.25	Facility		$355.25	$355.25	$355.25
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $250.00 / $363.00 / $844.29	Facility		$250.00	$363.00	$844.29
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $293.14 / $293.14 / $293.14	Facility		$293.14	$293.14	$293.14
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $355.25 / $555.00 / $37,776.00	Facility		$355.25	$555.00	$37,776.00
United Facility/Professional Facility Modifier Low / Median / High Price $2,264.00 / $6,450.00 / $14,770.00	Facility		$2,264.00	$6,450.00	$14,770.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $361.20 / $361.20 / $990.97	Facility		$361.20	$361.20	$990.97