Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $721.27 / $4,629.00 / $10,674.00	Facility		$721.27	$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 $768.02 / $768.02 / $37,499.62	Facility		$768.02	$768.02	$37,499.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $625.29 / $625.29 / $625.29	Facility		$625.29	$625.29	$625.29
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $62.19 / $62.19 / $62.19	Facility	AS	$62.19	$62.19	$62.19
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $595.80 / $1,485.00	Facility		$332.00	$595.80	$1,485.00
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $516.17 / $516.17 / $516.17	Facility		$516.17	$516.17	$516.17
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $625.29	Facility		$555.00	$597.00	$625.29
MVP Health Care Facility/Professional Facility Modifier AS Low / Median / High Price $62.19 / $62.19 / $62.19	Facility	AS	$62.19	$62.19	$62.19
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 $658.68 / $658.68 / $2,614.78	Facility		$658.68	$658.68	$2,614.78