Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,205.52 / $3,659.00 / $10,170.00	Facility		$1,205.52	$3,659.00	$10,170.00
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 $1,378.53 / $1,378.53 / $37,499.62	Facility		$1,378.53	$1,378.53	$37,499.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,115.59 / $1,115.59 / $1,115.59	Facility		$1,115.59	$1,115.59	$1,115.59
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $109.42 / $109.42 / $109.42	Facility	AS	$109.42	$109.42	$109.42
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,516.00 / $2,670.12	Facility		$332.00	$1,516.00	$2,670.12
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $902.30 / $902.30 / $902.30	Facility		$902.30	$902.30	$902.30
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 $109.42 / $109.42 / $109.42	Facility	AS	$109.42	$109.42	$109.42
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 $1,621.24 / $1,621.24 / $4,962.16	Facility		$1,621.24	$1,621.24	$4,962.16