Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $478.51 / $3,731.00 / $10,170.00	Facility		$478.51	$3,731.00	$10,170.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,385.00 / $4,133.00 / $9,074.00	Facility		$2,385.00	$4,133.00	$9,074.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $502.48 / $502.48 / $37,499.62	Facility		$502.48	$502.48	$37,499.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $408.17 / $408.17 / $408.17	Facility		$408.17	$408.17	$408.17
Cigna Facility/Professional Facility Modifier 62 Low / Median / High Price $250.26 / $250.26 / $250.26	Facility	62	$250.26	$250.26	$250.26
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $40.04 / $40.04 / $40.04	Facility	AS	$40.04	$40.04	$40.04
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $562.00 / $972.50	Facility		$332.00	$562.00	$972.50
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $329.03 / $329.03 / $329.03	Facility		$329.03	$329.03	$329.03
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $408.17 / $555.00 / $37,776.00	Facility		$408.17	$555.00	$37,776.00
MVP Health Care Facility/Professional Facility Modifier 62 Low / Median / High Price $250.26 / $250.26 / $250.26	Facility	62	$250.26	$250.26	$250.26
MVP Health Care Facility/Professional Facility Modifier AS Low / Median / High Price $40.04 / $40.04 / $40.04	Facility	AS	$40.04	$40.04	$40.04
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 $592.90 / $592.90 / $1,806.71	Facility		$592.90	$592.90	$1,806.71