Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $4,786.30 / $10,964.78	Facility		$2,570.40	$4,786.30	$10,964.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $11,481.54 / $18,620.87	Facility		$4,786.30	$11,481.54	$18,620.87
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $3,801.89 / $37,153.52	Facility		$3,801.89	$3,801.89	$37,153.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $4,570.88 / $50,118.72	Facility		$34.67	$4,570.88	$50,118.72
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $5,495.41 / $5,495.41 / $5,495.41	Facility	22	$5,495.41	$5,495.41	$5,495.41
Cigna Facility/Professional Facility Modifier 62 Low / Median / High Price $2,884.03 / $2,884.03 / $2,884.03	Facility	62	$2,884.03	$2,884.03	$2,884.03
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $3,311.31 / $8,912.51	Facility		$2,511.89	$3,311.31	$8,912.51
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $2,511.89 / $2,511.89	Facility		$2,511.89	$2,511.89	$2,511.89
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $50,118.72 / $75,857.76	Facility		$2,951.21	$50,118.72	$75,857.76
United Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $5,888.44 / $14,791.08	Facility		$2,398.83	$5,888.44	$14,791.08
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $4,570.88 / $11,220.18	Facility		$2,187.76	$4,570.88	$11,220.18