Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $257.00 / $281.00 / $356.00	Facility		$257.00	$281.00	$356.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $157.00 / $157.00 / $157.00	Facility		$157.00	$157.00	$157.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $184.48 / $220.20 / $252.00	Facility		$184.48	$220.20	$252.00
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $250.00 / $332.00 / $3,045.00	Facility		$250.00	$332.00	$3,045.00
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $52.23 / $52.23 / $52.23	Facility		$52.23	$52.23	$52.23
Fidelis Facility/Professional Facility Modifier Low / Median / High Price $264.70 / $355.84 / $443.43	Facility		$264.70	$355.84	$443.43
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $159.00 / $244.00 / $429.00	Facility		$159.00	$244.00	$429.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $52.23 / $52.23 / $52.23	Facility		$52.23	$52.23	$52.23