Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $662.00 / $1,132.00 / $1,348.00	Facility		$662.00	$1,132.00	$1,348.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $893.00 / $1,374.00 / $2,169.00	Facility		$893.00	$1,374.00	$2,169.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $559.17 / $759.00 / $1,232.16	Facility		$559.17	$759.00	$1,232.16
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $586.00 / $1,267.00 / $2,891.00	Facility		$586.00	$1,267.00	$2,891.00
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $344.00 / $344.00 / $344.00	Facility		$344.00	$344.00	$344.00
Fidelis Facility/Professional Facility Modifier Low / Median / High Price $541.58 / $703.04 / $779.63	Facility		$541.58	$703.04	$779.63
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $641.00 / $1,064.70 / $1,232.16	Facility		$641.00	$1,064.70	$1,232.16
Univera Facility/Professional Facility Modifier Low / Median / High Price $344.00 / $424.00 / $597.00	Facility		$344.00	$424.00	$597.00