Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,774.95 / $5,324.00 / $14,113.00	Facility		$1,774.95	$5,324.00	$14,113.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,977.00 / $10,611.00 / $24,558.00	Facility		$4,977.00	$10,611.00	$24,558.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,045.41 / $3,478.50 / $13,477.50	Facility		$2,045.41	$3,478.50	$13,477.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,642.08 / $1,642.08 / $1,642.08	Facility		$1,642.08	$1,642.08	$1,642.08
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $162.59 / $162.59 / $162.59	Facility	AS	$162.59	$162.59	$162.59
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,755.00 / $3,844.76	Facility		$332.00	$1,755.00	$3,844.76
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,355.24 / $1,355.24 / $1,355.24	Facility		$1,355.24	$1,355.24	$1,355.24
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $1,642.08	Facility		$555.00	$597.00	$1,642.08
MVP Health Care Facility/Professional Facility Modifier AS Low / Median / High Price $162.59 / $162.59 / $162.59	Facility	AS	$162.59	$162.59	$162.59
United Facility/Professional Facility Modifier Low / Median / High Price $2,705.00 / $9,815.00 / $26,765.00	Facility		$2,705.00	$9,815.00	$26,765.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,729.45 / $1,729.45 / $6,170.29	Facility		$1,729.45	$1,729.45	$6,170.29