Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,443.17 / $4,831.91 / $10,674.00	Facility		$2,443.17	$4,831.91	$10,674.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,760.00 / $10,017.00 / $17,122.00	Facility		$4,760.00	$10,017.00	$17,122.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $3,816.93 / $3,816.93 / $37,499.62	Facility		$3,816.93	$3,816.93	$37,499.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,074.84 / $3,074.84 / $3,074.84	Facility		$3,074.84	$3,074.84	$3,074.84
Cigna Facility/Professional Facility Modifier 62 Low / Median / High Price $1,890.19 / $1,890.19 / $1,890.19	Facility	62	$1,890.19	$1,890.19	$1,890.19
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $3,028.97 / $7,005.94	Facility		$332.00	$3,028.97	$7,005.94
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,524.14 / $2,524.14 / $2,524.14	Facility		$2,524.14	$2,524.14	$2,524.14
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $3,074.84	Facility		$555.00	$597.00	$3,074.84
MVP Health Care Facility/Professional Facility Modifier 62 Low / Median / High Price $1,890.19 / $1,890.19 / $1,890.19	Facility	62	$1,890.19	$1,890.19	$1,890.19
United Facility/Professional Facility Modifier Low / Median / High Price $1,855.74 / $5,547.00 / $13,746.00	Facility		$1,855.74	$5,547.00	$13,746.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $4,558.64 / $4,558.64 / $9,784.12	Facility		$4,558.64	$4,558.64	$9,784.12