Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $633.27 / $4,629.00 / $10,965.00	Facility		$633.27	$4,629.00	$10,965.00
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 $713.98 / $2,390.00 / $10,957.50	Facility		$713.98	$2,390.00	$10,957.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $579.54 / $579.54 / $579.54	Facility		$579.54	$579.54	$579.54
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $57.49 / $57.49 / $57.49	Facility	AS	$57.49	$57.49	$57.49
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $777.00 / $1,362.44	Facility		$332.00	$777.00	$1,362.44
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $480.02 / $480.02 / $480.02	Facility		$480.02	$480.02	$480.02
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $579.54 / $597.00	Facility		$555.00	$579.54	$597.00
MVP Health Care Facility/Professional Facility Modifier AS Low / Median / High Price $57.49 / $57.49 / $57.49	Facility	AS	$57.49	$57.49	$57.49
United Facility/Professional Facility Modifier Low / Median / High Price $2,264.00 / $5,248.00 / $11,200.00	Facility		$2,264.00	$5,248.00	$11,200.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $611.16 / $611.16 / $2,287.46	Facility		$611.16	$611.16	$2,287.46