Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $420.51 / $3,731.00 / $10,170.00	Facility		$420.51	$3,731.00	$10,170.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,574.00 / $8,170.00 / $16,083.00	Facility		$4,574.00	$8,170.00	$16,083.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $444.48 / $4,336.50 / $13,009.50	Facility		$444.48	$4,336.50	$13,009.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $365.30 / $365.30 / $365.30	Facility		$365.30	$365.30	$365.30
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $35.86 / $35.86 / $35.86	Facility	AS	$35.86	$35.86	$35.86
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $300.00 / $379.46 / $883.78	Facility		$300.00	$379.46	$883.78
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $291.89 / $291.89 / $291.89	Facility		$291.89	$291.89	$291.89
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $365.30 / $555.00 / $37,776.00	Facility		$365.30	$555.00	$37,776.00
MVP Health Care Facility/Professional Facility Modifier AS Low / Median / High Price $35.86 / $35.86 / $35.86	Facility	AS	$35.86	$35.86	$35.86
United Facility/Professional Facility Modifier Low / Median / High Price $964.00 / $2,826.00 / $4,851.00	Facility		$964.00	$2,826.00	$4,851.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $527.05 / $527.05 / $1,575.56	Facility		$527.05	$527.05	$1,575.56