Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $989.75 / $5,069.00 / $11,691.00	Facility		$989.75	$5,069.00	$11,691.00
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 $1,119.08 / $2,644.00 / $12,319.50	Facility		$1,119.08	$2,644.00	$12,319.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $904.29 / $904.29 / $904.29	Facility		$904.29	$904.29	$904.29
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $90.00 / $90.00 / $90.00	Facility	AS	$90.00	$90.00	$90.00
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $860.38 / $2,121.08	Facility		$332.00	$860.38	$2,121.08
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $749.59 / $749.59 / $749.59	Facility		$749.59	$749.59	$749.59
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $904.29	Facility		$555.00	$597.00	$904.29
MVP Health Care Facility/Professional Facility Modifier AS Low / Median / High Price $90.00 / $90.00 / $90.00	Facility	AS	$90.00	$90.00	$90.00
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 $957.35 / $957.35 / $3,486.40	Facility		$957.35	$957.35	$3,486.40