Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,404.73 / $5,228.00 / $11,996.00	Facility		$2,404.73	$5,228.00	$11,996.00
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 $3,354.24 / $4,492.50 / $13,477.50	Facility		$3,354.24	$4,492.50	$13,477.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,733.97 / $2,733.97 / $2,733.97	Facility		$2,733.97	$2,733.97	$2,733.97
Cigna Facility/Professional Facility Modifier 62 Low / Median / High Price $1,688.18 / $1,688.18 / $1,688.18	Facility	62	$1,688.18	$1,688.18	$1,688.18
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $270.11 / $270.11 / $270.11	Facility	AS	$270.11	$270.11	$270.11
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $3,367.00 / $6,530.63	Facility		$332.00	$3,367.00	$6,530.63
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,216.13 / $2,216.13 / $2,216.13	Facility		$2,216.13	$2,216.13	$2,216.13
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $37,776.00	Facility		$555.00	$597.00	$37,776.00
MVP Health Care Facility/Professional Facility Modifier 62 Low / Median / High Price $1,688.18 / $1,688.18 / $1,688.18	Facility	62	$1,688.18	$1,688.18	$1,688.18
MVP Health Care Facility/Professional Facility Modifier AS Low / Median / High Price $270.11 / $270.11 / $270.11	Facility	AS	$270.11	$270.11	$270.11
United Facility/Professional Facility Modifier Low / Median / High Price $2,341.00 / $6,762.00 / $16,961.00	Facility		$2,341.00	$6,762.00	$16,961.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $3,998.85 / $3,998.85 / $7,212.01	Facility		$3,998.85	$3,998.85	$7,212.01