Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,905.12 / $5,390.10 / $12,105.00	Facility		$1,905.12	$5,390.10	$12,105.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,760.00 / $10,037.00 / $19,299.00	Facility		$4,760.00	$10,037.00	$19,299.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,510.44 / $2,510.44 / $37,499.62	Facility		$2,510.44	$2,510.44	$37,499.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,043.18 / $2,043.18 / $2,043.18	Facility		$2,043.18	$2,043.18	$2,043.18
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $202.55 / $202.55 / $202.55	Facility	AS	$202.55	$202.55	$202.55
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $2,339.00 / $4,931.21	Facility		$332.00	$2,339.00	$4,931.21
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,659.66 / $1,659.66 / $1,659.66	Facility		$1,659.66	$1,659.66	$1,659.66
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 AS Low / Median / High Price $202.55 / $202.55 / $202.55	Facility	AS	$202.55	$202.55	$202.55
United Facility/Professional Facility Modifier Low / Median / High Price $2,673.00 / $7,719.00 / $18,532.00	Facility		$2,673.00	$7,719.00	$18,532.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,990.37 / $2,990.37 / $7,021.52	Facility		$2,990.37	$2,990.37	$7,021.52