Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $940.73 / $4,452.00 / $10,686.00	Facility		$940.73	$4,452.00	$10,686.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,248.00 / $5,196.00 / $11,909.00	Facility		$3,248.00	$5,196.00	$11,909.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,015.33 / $1,990.00 / $8,917.50	Facility		$1,015.33	$1,990.00	$8,917.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $817.63 / $817.63 / $817.63	Facility		$817.63	$817.63	$817.63
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $81.31 / $81.31 / $81.31	Facility	AS	$81.31	$81.31	$81.31
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $865.00 / $1,923.19	Facility		$332.00	$865.00	$1,923.19
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $677.32 / $677.32 / $677.32	Facility		$677.32	$677.32	$677.32
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $817.63	Facility		$555.00	$597.00	$817.63
MVP Health Care Facility/Professional Facility Modifier AS Low / Median / High Price $81.31 / $81.31 / $81.31	Facility	AS	$81.31	$81.31	$81.31
United Facility/Professional Facility Modifier Low / Median / High Price $2,380.00 / $4,893.00 / $10,315.00	Facility		$2,380.00	$4,893.00	$10,315.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $864.30 / $864.30 / $3,261.45	Facility		$864.30	$864.30	$3,261.45