Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,865.00 / $3,136.00 / $4,847.00	Facility		$1,865.00	$3,136.00	$4,847.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,827.00 / $3,571.00 / $5,607.00	Facility		$1,827.00	$3,571.00	$5,607.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $3,792.00 / $5,511.00	Facility		$500.00	$3,792.00	$5,511.00
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $380.00 / $2,146.00 / $4,981.00	Facility		$380.00	$2,146.00	$4,981.00
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $462.51 / $1,152.02 / $2,488.56	Facility		$462.51	$1,152.02	$2,488.56
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $310.00 / $2,529.00 / $5,365.00	Facility		$310.00	$2,529.00	$5,365.00
Optum Facility/Professional Facility Modifier Low / Median / High Price $1,360.00 / $1,975.00 / $2,754.00	Facility		$1,360.00	$1,975.00	$2,754.00
United Facility/Professional Facility Modifier Low / Median / High Price $553.00 / $1,443.00 / $4,660.00	Facility		$553.00	$1,443.00	$4,660.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,020.02 / $1,648.95 / $2,652.37	Facility		$1,020.02	$1,648.95	$2,652.37