Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $4,073.80 / $10,964.78	Facility		$1,122.02	$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 $1,174.90 / $2,398.83 / $10,964.78	Facility		$1,174.90	$2,398.83	$10,964.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $50,118.72	Facility		$1,412.54	$1,412.54	$50,118.72
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $141.25 / $141.25 / $141.25	Facility	AS	$141.25	$141.25	$141.25
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,023.29 / $3,019.95	Facility		$851.14	$1,023.29	$3,019.95
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $776.25 / $776.25	Facility		$776.25	$776.25	$776.25
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $50,118.72 / $75,857.76	Facility		$851.14	$50,118.72	$75,857.76
United Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $5,888.44 / $14,791.08	Facility		$2,398.83	$5,888.44	$14,791.08
Univera Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $1,000.00 / $3,801.89	Facility		$676.08	$1,000.00	$3,801.89