Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $789.92 / $3,996.00 / $12,051.00	Facility		$789.92	$3,996.00	$12,051.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,749.00 / $9,877.00 / $16,490.00	Facility		$4,749.00	$9,877.00	$16,490.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $877.90 / $1,716.00 / $6,213.00	Facility		$877.90	$1,716.00	$6,213.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $699.71 / $699.71 / $699.71	Facility		$699.71	$699.71	$699.71
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $69.76 / $69.76 / $69.76	Facility	AS	$69.76	$69.76	$69.76
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $800.00 / $1,638.05	Facility		$332.00	$800.00	$1,638.05
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $580.76 / $580.76 / $580.76	Facility		$580.76	$580.76	$580.76
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $23,612.00	Facility		$555.00	$597.00	$23,612.00
MVP Health Care Facility/Professional Facility Modifier AS Low / Median / High Price $69.76 / $69.76 / $69.76	Facility	AS	$69.76	$69.76	$69.76
United Facility/Professional Facility Modifier Low / Median / High Price $2,264.00 / $6,136.00 / $15,301.87	Facility		$2,264.00	$6,136.00	$15,301.87
Univera Facility/Professional Facility Modifier Low / Median / High Price $742.94 / $742.94 / $2,927.14	Facility		$742.94	$742.94	$2,927.14