Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $5,248.07 / $12,589.25	Facility		$1,862.09	$5,248.07	$12,589.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $5,888.44 / $13,489.63	Facility		$3,388.44	$5,888.44	$13,489.63
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $2,137.96 / $37,153.52	Facility		$2,137.96	$2,137.96	$37,153.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $2,570.40 / $50,118.72	Facility		$34.67	$2,570.40	$50,118.72
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $3,090.30 / $3,090.30 / $3,090.30	Facility	22	$3,090.30	$3,090.30	$3,090.30
Cigna Facility/Professional Facility Modifier 62 Low / Median / High Price $1,621.81 / $1,621.81 / $1,621.81	Facility	62	$1,621.81	$1,621.81	$1,621.81
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $257.04 / $257.04 / $257.04	Facility	AS	$257.04	$257.04	$257.04
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $2,238.72 / $5,623.41	Facility		$1,584.89	$2,238.72	$5,623.41
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $1,412.54	Facility		$1,412.54	$1,412.54	$1,412.54
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $50,118.72 / $75,857.76	Facility		$1,513.56	$50,118.72	$75,857.76
United Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $6,606.93 / $19,498.45	Facility		$2,454.71	$6,606.93	$19,498.45
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $2,511.89 / $6,456.54	Facility		$1,230.27	$2,511.89	$6,456.54