Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $692.61 / $3,832.00 / $8,907.44	Facility		$692.61	$3,832.00	$8,907.44
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 $784.37 / $1,716.00 / $6,213.00	Facility		$784.37	$1,716.00	$6,213.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $650.60 / $650.60 / $650.60	Facility		$650.60	$650.60	$650.60
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $64.05 / $64.05 / $64.05	Facility	AS	$64.05	$64.05	$64.05
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $620.58 / $1,544.13	Facility		$332.00	$620.58	$1,544.13
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $536.92 / $536.92 / $536.92	Facility		$536.92	$536.92	$536.92
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $650.60	Facility		$555.00	$597.00	$650.60
MVP Health Care Facility/Professional Facility Modifier AS Low / Median / High Price $64.05 / $64.05 / $64.05	Facility	AS	$64.05	$64.05	$64.05
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 $678.63 / $678.63 / $2,389.90	Facility		$678.63	$678.63	$2,389.90