Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $4,073.80 / $10,964.78	Facility		$1,047.13	$4,073.80	$10,964.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $11,481.54 / $18,620.87	Facility		$4,786.30	$11,481.54	$18,620.87
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $2,398.83 / $10,964.78	Facility		$1,071.52	$2,398.83	$10,964.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,288.25 / $50,118.72	Facility		$1,288.25	$1,288.25	$50,118.72
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $128.82 / $128.82 / $128.82	Facility	AS	$128.82	$128.82	$128.82
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,148.15 / $2,754.23	Facility		$812.83	$1,148.15	$2,754.23
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $707.95 / $707.95	Facility		$707.95	$707.95	$707.95
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $50,118.72 / $75,857.76	Facility		$776.25	$50,118.72	$75,857.76
United Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $5,128.61 / $12,882.50	Facility		$2,344.23	$5,128.61	$12,882.50
Univera Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $912.01 / $3,388.44	Facility		$616.60	$912.01	$3,388.44