Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $289.64 / $3,020.00 / $7,839.00	Facility		$289.64	$3,020.00	$7,839.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $300.62 / $300.62 / $300.62	Facility		$300.62	$300.62	$300.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $224.17 / $224.17 / $14,648.00	Facility		$224.17	$224.17	$14,648.00
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $192.19 / $282.00 / $493.49	Facility		$192.19	$282.00	$493.49
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $181.86 / $181.86 / $181.86	Facility		$181.86	$181.86	$181.86
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $224.17 / $555.00 / $597.00	Facility		$224.17	$555.00	$597.00
United Facility/Professional Facility Modifier Low / Median / High Price $964.00 / $2,826.00 / $4,851.00	Facility		$964.00	$2,826.00	$4,851.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $227.73 / $227.73 / $305.67	Facility		$227.73	$227.73	$305.67