Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $444.00 / $1,119.00 / $1,221.00	Facility		$444.00	$1,119.00	$1,221.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $434.00 / $928.00 / $1,391.00	Facility		$434.00	$928.00	$1,391.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $603.00 / $603.00 / $603.00	Facility		$603.00	$603.00	$603.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $950.00 / $950.00 / $950.00	Facility		$950.00	$950.00	$950.00
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $422.00 / $422.00 / $422.00	Facility		$422.00	$422.00	$422.00
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $155.00 / $247.50 / $258.75	Facility		$155.00	$247.50	$258.75
Fidelis Facility/Professional Facility Modifier Low / Median / High Price $103.67 / $103.67 / $103.67	Facility		$103.67	$103.67	$103.67
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $429.00 / $950.00 / $1,319.00	Facility		$429.00	$950.00	$1,319.00
Optum Facility/Professional Facility Modifier Low / Median / High Price $315.00 / $626.00 / $860.00	Facility		$315.00	$626.00	$860.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $247.50 / $247.50 / $280.00	Facility		$247.50	$247.50	$280.00