Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $3,311.31 / $10,232.93	Facility		$549.54	$3,311.31	$10,232.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $11,481.54 / $18,620.87	Facility		$4,786.30	$11,481.54	$18,620.87
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $501.19 / $37,153.52	Facility		$501.19	$501.19	$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 62 Low / Median / High Price $380.19 / $380.19 / $380.19	Facility	62	$380.19	$380.19	$380.19
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 / $562.34 / $1,258.93	Facility		$389.05	$562.34	$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 $389.05 / $50,118.72 / $75,857.76	Facility		$389.05	$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 / $588.84 / $1,659.59	Facility		$288.40	$588.84	$1,659.59