Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $955.36 / $4,166.00 / $10,321.00	Facility		$955.36	$4,166.00	$10,321.00
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 $1,062.21 / $2,390.00 / $10,957.50	Facility		$1,062.21	$2,390.00	$10,957.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $855.93 / $855.93 / $855.93	Facility		$855.93	$855.93	$855.93
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $85.08 / $85.08 / $85.08	Facility	AS	$85.08	$85.08	$85.08
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,148.00 / $2,015.75	Facility		$332.00	$1,148.00	$2,015.75
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $708.79 / $708.79 / $708.79	Facility		$708.79	$708.79	$708.79
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $855.93	Facility		$555.00	$597.00	$855.93
MVP Health Care Facility/Professional Facility Modifier AS Low / Median / High Price $85.08 / $85.08 / $85.08	Facility	AS	$85.08	$85.08	$85.08
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 $904.17 / $904.17 / $3,508.21	Facility		$904.17	$904.17	$3,508.21