Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $829.00 / $4,629.00 / $10,674.00	Facility		$829.00	$4,629.00	$10,674.00
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 $916.24 / $2,390.00 / $10,957.50	Facility		$916.24	$2,390.00	$10,957.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $741.37 / $741.37 / $741.37	Facility		$741.37	$741.37	$741.37
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $73.78 / $73.78 / $73.78	Facility	AS	$73.78	$73.78	$73.78
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $736.88 / $1,741.59	Facility		$332.00	$736.88	$1,741.59
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $614.07 / $614.07 / $614.07	Facility		$614.07	$614.07	$614.07
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $741.37	Facility		$555.00	$597.00	$741.37
MVP Health Care Facility/Professional Facility Modifier AS Low / Median / High Price $73.78 / $73.78 / $73.78	Facility	AS	$73.78	$73.78	$73.78
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 $784.30 / $784.30 / $2,885.66	Facility		$784.30	$784.30	$2,885.66