Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $772.75 / $4,452.00 / $10,686.00	Facility		$772.75	$4,452.00	$10,686.00
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 $829.26 / $1,990.00 / $8,917.50	Facility		$829.26	$1,990.00	$8,917.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $670.69 / $670.69 / $670.69	Facility		$670.69	$670.69	$670.69
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $66.66 / $66.66 / $66.66	Facility	AS	$66.66	$66.66	$66.66
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $701.36 / $1,578.06	Facility		$332.00	$701.36	$1,578.06
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $555.42 / $555.42 / $555.42	Facility		$555.42	$555.42	$555.42
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $670.69	Facility		$555.00	$597.00	$670.69
MVP Health Care Facility/Professional Facility Modifier AS Low / Median / High Price $66.66 / $66.66 / $66.66	Facility	AS	$66.66	$66.66	$66.66
United Facility/Professional Facility Modifier Low / Median / High Price $2,341.00 / $6,700.00 / $16,782.00	Facility		$2,341.00	$6,700.00	$16,782.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $708.38 / $708.38 / $2,650.65	Facility		$708.38	$708.38	$2,650.65