Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $798.43 / $4,450.97 / $10,024.00	Facility		$798.43	$4,450.97	$10,024.00
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 $883.43 / $1,990.00 / $8,917.50	Facility		$883.43	$1,990.00	$8,917.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $718.67 / $718.67 / $718.67	Facility		$718.67	$718.67	$718.67
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $71.28 / $71.28 / $71.28	Facility	AS	$71.28	$71.28	$71.28
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,035.00 / $1,689.53	Facility		$332.00	$1,035.00	$1,689.53
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $595.28 / $595.28 / $595.28	Facility		$595.28	$595.28	$595.28
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $718.67	Facility		$555.00	$597.00	$718.67
MVP Health Care Facility/Professional Facility Modifier AS Low / Median / High Price $71.28 / $71.28 / $71.28	Facility	AS	$71.28	$71.28	$71.28
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 $757.76 / $757.76 / $3,162.55	Facility		$757.76	$757.76	$3,162.55