Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $930.54 / $3,783.00 / $9,267.00	Facility		$930.54	$3,783.00	$9,267.00
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 $1,051.89 / $4,492.50 / $13,477.50	Facility		$1,051.89	$4,492.50	$13,477.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $858.84 / $858.84 / $858.84	Facility		$858.84	$858.84	$858.84
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $84.30 / $84.30 / $84.30	Facility	AS	$84.30	$84.30	$84.30
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,166.00 / $2,070.09	Facility		$332.00	$1,166.00	$2,070.09
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $689.29 / $689.29 / $689.29	Facility		$689.29	$689.29	$689.29
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 $84.30 / $84.30 / $84.30	Facility	AS	$84.30	$84.30	$84.30
United Facility/Professional Facility Modifier Low / Median / High Price $2,341.00 / $6,762.00 / $16,961.00	Facility		$2,341.00	$6,762.00	$16,961.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,242.38 / $1,242.38 / $3,768.56	Facility		$1,242.38	$1,242.38	$3,768.56