Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $3,090.30 / $9,772.37	Facility		$537.03	$3,090.30	$9,772.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $5,888.44 / $12,302.69	Facility		$3,388.44	$5,888.44	$12,302.69
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $512.86 / $37,153.52	Facility		$512.86	$512.86	$37,153.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $616.60 / $50,118.72	Facility		$34.67	$616.60	$50,118.72
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $741.31 / $741.31 / $741.31	Facility	22	$741.31	$741.31	$741.31
Cigna Facility/Professional Facility Modifier 62 Low / Median / High Price $389.05 / $389.05 / $389.05	Facility	62	$389.05	$389.05	$389.05
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $61.66 / $61.66 / $61.66	Facility	AS	$61.66	$61.66	$61.66
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $588.84 / $1,258.93	Facility		$389.05	$588.84	$1,258.93
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $331.13 / $331.13	Facility		$331.13	$331.13	$331.13
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $50,118.72 / $75,857.76	Facility		$398.11	$50,118.72	$75,857.76
United Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $2,754.23 / $4,897.79	Facility		$1,258.93	$2,754.23	$4,897.79
Univera Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $602.56 / $1,819.70	Facility		$288.40	$602.56	$1,819.70