Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.23 / $3,621.00 / $10,965.00	Facility		$89.23	$3,621.00	$10,965.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $3,373.00 / $4,707.00	Facility		$1,689.00	$3,373.00	$4,707.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $86.56 / $86.56 / $4,050.00	Facility		$86.56	$86.56	$4,050.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $83.08 / $83.08 / $83.08	Facility		$83.08	$83.08	$83.08
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $112.50 / $332.00	Facility		$75.00	$112.50	$332.00
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $67.72 / $67.72 / $67.72	Facility		$67.72	$67.72	$67.72
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $83.08 / $555.00 / $36,596.00	Facility		$83.08	$555.00	$36,596.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,348.00 / $3,496.00 / $6,201.00	Facility		$1,348.00	$3,496.00	$6,201.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $83.92 / $83.92 / $720.28	Facility		$83.92	$83.92	$720.28