Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $4,786.30 / $10,964.78	Facility		$1,071.52	$4,786.30	$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 $1,148.15 / $1,995.26 / $8,912.51	Facility		$1,148.15	$1,995.26	$8,912.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,380.38 / $50,118.72	Facility		$1,380.38	$1,380.38	$50,118.72
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $138.04 / $138.04 / $138.04	Facility	AS	$138.04	$138.04	$138.04
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,148.15 / $2,884.03	Facility		$870.96	$1,148.15	$2,884.03
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $758.58 / $758.58	Facility		$758.58	$758.58	$758.58
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $50,118.72 / $75,857.76	Facility		$977.24	$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 $660.69 / $954.99 / $4,677.35	Facility		$660.69	$954.99	$4,677.35