Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $465.00 / $1,095.00 / $1,348.00	Facility		$465.00	$1,095.00	$1,348.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $579.00 / $1,343.00 / $2,576.00	Facility		$579.00	$1,343.00	$2,576.00
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 $393.00 / $1,191.00 / $3,496.00	Facility		$393.00	$1,191.00	$3,496.00
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 $225.71 / $225.71 / $225.71	Facility		$225.71	$225.71	$225.71
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $641.00 / $807.45 / $1,232.16	Facility		$641.00	$807.45	$1,232.16
Univera Facility/Professional Facility Modifier Low / Median / High Price $344.00 / $401.00 / $459.00	Facility		$344.00	$401.00	$459.00