Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,019.88 / $3,659.00 / $10,965.00	Facility		$1,019.88	$3,659.00	$10,965.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,284.00 / $4,085.00 / $8,640.00	Facility		$2,284.00	$4,085.00	$8,640.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,135.89 / $4,336.50 / $13,009.50	Facility		$1,135.89	$4,336.50	$13,009.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $928.06 / $928.06 / $928.06	Facility		$928.06	$928.06	$928.06
Cigna Facility/Professional Facility Modifier 62 Low / Median / High Price $569.25 / $569.25 / $569.25	Facility	62	$569.25	$569.25	$569.25
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $91.08 / $91.08 / $91.08	Facility	AS	$91.08	$91.08	$91.08
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,230.84 / $2,234.90	Facility		$332.00	$1,230.84	$2,234.90
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $745.97 / $745.97 / $745.97	Facility		$745.97	$745.97	$745.97
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 $569.25 / $569.25 / $569.25	Facility	62	$569.25	$569.25	$569.25
MVP Health Care Facility/Professional Facility Modifier AS Low / Median / High Price $91.08 / $91.08 / $91.08	Facility	AS	$91.08	$91.08	$91.08
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 $1,343.63 / $1,343.63 / $3,995.93	Facility		$1,343.63	$1,343.63	$3,995.93