Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,287.68 / $4,409.00 / $10,475.15	Facility		$1,287.68	$4,409.00	$10,475.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,977.00 / $9,808.00 / $16,411.00	Facility		$4,977.00	$9,808.00	$16,411.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,490.95 / $1,990.00 / $8,917.50	Facility		$1,490.95	$1,990.00	$8,917.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,197.79 / $1,197.79 / $1,197.79	Facility		$1,197.79	$1,197.79	$1,197.79
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $118.97 / $118.97 / $118.97	Facility	AS	$118.97	$118.97	$118.97
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,215.00 / $2,820.20	Facility		$332.00	$1,215.00	$2,820.20
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $992.19 / $992.19 / $992.19	Facility		$992.19	$992.19	$992.19
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,197.79 / $15,753.00	Facility		$555.00	$1,197.79	$15,753.00
MVP Health Care Facility/Professional Facility Modifier AS Low / Median / High Price $118.97 / $118.97 / $118.97	Facility	AS	$118.97	$118.97	$118.97
United Facility/Professional Facility Modifier Low / Median / High Price $2,341.00 / $6,700.00 / $16,782.00	Facility		$2,341.00	$6,700.00	$16,782.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,264.77 / $1,264.77 / $4,332.41	Facility		$1,264.77	$1,264.77	$4,332.41