Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $407.72 / $4,648.00 / $11,396.00	Facility		$407.72	$4,648.00	$11,396.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,381.00 / $4,120.00 / $8,640.00	Facility		$2,381.00	$4,120.00	$8,640.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $445.52 / $445.52 / $37,499.62	Facility		$445.52	$445.52	$37,499.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $365.06 / $22,413.00 / $27,004.00	Facility		$365.06	$22,413.00	$27,004.00
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $610.47 / $28,546.00	Facility		$332.00	$610.47	$28,546.00
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $290.70 / $290.70 / $290.70	Facility		$290.70	$290.70	$290.70
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $365.06 / $26,028.00 / $27,004.00	Facility		$365.06	$26,028.00	$27,004.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,749.00 / $4,194.00 / $9,202.00	Facility		$1,749.00	$4,194.00	$9,202.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $363.12 / $363.12 / $1,585.47	Facility		$363.12	$363.12	$1,585.47