Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,337.22 / $5,157.00 / $11,396.00	Facility		$1,337.22	$5,157.00	$11,396.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,977.00 / $10,576.00 / $24,288.00	Facility		$4,977.00	$10,576.00	$24,288.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,377.04 / $5,511.50 / $16,534.50	Facility		$1,377.04	$5,511.50	$16,534.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,217.95 / $1,217.95 / $1,217.95	Facility		$1,217.95	$1,217.95	$1,217.95
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $121.06 / $121.06 / $121.06	Facility	AS	$121.06	$121.06	$121.06
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,183.26 / $2,902.48	Facility		$332.00	$1,183.26	$2,902.48
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $986.05 / $986.05 / $986.05	Facility		$986.05	$986.05	$986.05
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,217.95 / $37,776.00	Facility		$555.00	$1,217.95	$37,776.00
MVP Health Care Facility/Professional Facility Modifier AS Low / Median / High Price $121.06 / $121.06 / $121.06	Facility	AS	$121.06	$121.06	$121.06
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 $1,790.21 / $1,790.21 / $1,880.29	Facility		$1,790.21	$1,790.21	$1,880.29