Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,263.70 / $5,370.00 / $15,295.00	Facility		$1,263.70	$5,370.00	$15,295.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,749.00 / $9,877.00 / $17,154.00	Facility		$4,749.00	$9,877.00	$17,154.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,375.46 / $3,478.50 / $13,477.50	Facility		$1,375.46	$3,478.50	$13,477.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,108.89 / $1,108.89 / $1,108.89	Facility		$1,108.89	$1,108.89	$1,108.89
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $110.09 / $110.09 / $110.09	Facility	AS	$110.09	$110.09	$110.09
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,615.00 / $3,786.77	Facility		$332.00	$1,615.00	$3,786.77
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $918.11 / $918.11 / $918.11	Facility		$918.11	$918.11	$918.11
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,108.89 / $23,612.00	Facility		$555.00	$1,108.89	$23,612.00
MVP Health Care Facility/Professional Facility Modifier AS Low / Median / High Price $110.09 / $110.09 / $110.09	Facility	AS	$110.09	$110.09	$110.09
United Facility/Professional Facility Modifier Low / Median / High Price $2,337.00 / $7,395.00 / $16,818.43	Facility		$2,337.00	$7,395.00	$16,818.43
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,169.86 / $1,169.86 / $4,624.38	Facility		$1,169.86	$1,169.86	$4,624.38