Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $413.33 / $3,996.00 / $11,996.00	Facility		$413.33	$3,996.00	$11,996.00
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 $416.69 / $1,716.00 / $6,213.00	Facility		$416.69	$1,716.00	$6,213.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $338.88 / $338.88 / $338.88	Facility		$338.88	$338.88	$338.88
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $323.45 / $538.49 / $1,179.20	Facility		$323.45	$538.49	$1,179.20
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $279.25 / $279.25 / $279.25	Facility		$279.25	$279.25	$279.25
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $338.88 / $555.00 / $37,776.00	Facility		$338.88	$555.00	$37,776.00
United Facility/Professional Facility Modifier Low / Median / High Price $2,341.00 / $6,762.00 / $16,961.00	Facility		$2,341.00	$6,762.00	$16,961.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $346.69 / $346.69 / $1,730.36	Facility		$346.69	$346.69	$1,730.36