Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $903.27 / $4,629.00 / $10,674.00	Facility		$903.27	$4,629.00	$10,674.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,283.00 / $5,434.00 / $12,168.00	Facility		$3,283.00	$5,434.00	$12,168.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $950.54 / $950.54 / $37,499.62	Facility		$950.54	$950.54	$37,499.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $767.20 / $767.20 / $767.20	Facility		$767.20	$767.20	$767.20
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $75.27 / $75.27 / $75.27	Facility	AS	$75.27	$75.27	$75.27
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,121.65 / $1,913.60	Facility		$332.00	$1,121.65	$1,913.60
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $623.14 / $623.14 / $623.14	Facility		$623.14	$623.14	$623.14
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $767.20	Facility		$555.00	$597.00	$767.20
MVP Health Care Facility/Professional Facility Modifier AS Low / Median / High Price $75.27 / $75.27 / $75.27	Facility	AS	$75.27	$75.27	$75.27
United Facility/Professional Facility Modifier Low / Median / High Price $2,341.00 / $6,700.00 / $16,782.00	Facility		$2,341.00	$6,700.00	$16,782.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $796.97 / $796.97 / $3,256.90	Facility		$796.97	$796.97	$3,256.90