Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $946.37 / $4,029.00 / $11,609.00	Facility		$946.37	$4,029.00	$11,609.00
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 $1,061.38 / $1,061.38 / $13,009.50	Facility		$1,061.38	$1,061.38	$13,009.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $866.56 / $866.56 / $14,648.00	Facility		$866.56	$866.56	$14,648.00
Cigna Facility/Professional Facility Modifier 62 Low / Median / High Price $531.50 / $531.50 / $531.50	Facility	62	$531.50	$531.50	$531.50
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $85.04 / $85.04 / $85.04	Facility	AS	$85.04	$85.04	$85.04
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,165.00 / $2,084.27	Facility		$332.00	$1,165.00	$2,084.27
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $696.35 / $696.35 / $696.35	Facility		$696.35	$696.35	$696.35
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 62 Low / Median / High Price $531.50 / $531.50 / $531.50	Facility	62	$531.50	$531.50	$531.50
MVP Health Care Facility/Professional Facility Modifier AS Low / Median / High Price $85.04 / $85.04 / $85.04	Facility	AS	$85.04	$85.04	$85.04
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 $1,254.74 / $1,254.74 / $3,800.93	Facility		$1,254.74	$1,254.74	$3,800.93