Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,003.00 / $4,663.00 / $10,577.10	Facility		$1,003.00	$4,663.00	$10,577.10
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 $1,136.58 / $1,990.00 / $8,917.50	Facility		$1,136.58	$1,990.00	$8,917.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $913.96 / $913.96 / $913.96	Facility		$913.96	$913.96	$913.96
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $90.78 / $90.78 / $90.78	Facility	AS	$90.78	$90.78	$90.78
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,130.00 / $2,145.73	Facility		$332.00	$1,130.00	$2,145.73
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $757.81 / $757.81 / $757.81	Facility		$757.81	$757.81	$757.81
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $913.96	Facility		$555.00	$597.00	$913.96
MVP Health Care Facility/Professional Facility Modifier AS Low / Median / High Price $90.78 / $90.78 / $90.78	Facility	AS	$90.78	$90.78	$90.78
United Facility/Professional Facility Modifier Low / Median / High Price $2,264.00 / $5,963.00 / $14,457.00	Facility		$2,264.00	$5,963.00	$14,457.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $965.77 / $965.77 / $4,864.03	Facility		$965.77	$965.77	$4,864.03