Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $635.79 / $4,525.00 / $10,321.00	Facility		$635.79	$4,525.00	$10,321.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,749.00 / $9,877.00 / $16,490.00	Facility		$4,749.00	$9,877.00	$16,490.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $715.68 / $2,390.00 / $10,957.50	Facility		$715.68	$2,390.00	$10,957.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $575.83 / $575.83 / $575.83	Facility		$575.83	$575.83	$575.83
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $57.12 / $57.12 / $57.12	Facility	AS	$57.12	$57.12	$57.12
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $547.32 / $1,349.98	Facility		$332.00	$547.32	$1,349.98
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $477.57 / $477.57 / $477.57	Facility		$477.57	$477.57	$477.57
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $575.83 / $597.00	Facility		$555.00	$575.83	$597.00
MVP Health Care Facility/Professional Facility Modifier AS Low / Median / High Price $57.12 / $57.12 / $57.12	Facility	AS	$57.12	$57.12	$57.12
United Facility/Professional Facility Modifier Low / Median / High Price $2,264.00 / $5,248.00 / $11,200.00	Facility		$2,264.00	$5,248.00	$11,200.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $607.92 / $607.92 / $2,345.44	Facility		$607.92	$607.92	$2,345.44