Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $930.45 / $3,599.00 / $8,134.00	Facility		$930.45	$3,599.00	$8,134.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,248.00 / $5,196.00 / $11,909.00	Facility		$3,248.00	$5,196.00	$11,909.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,058.51 / $1,254.00 / $4,050.00	Facility		$1,058.51	$1,254.00	$4,050.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $842.95 / $842.95 / $842.95	Facility		$842.95	$842.95	$842.95
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $84.30 / $84.30 / $84.30	Facility	AS	$84.30	$84.30	$84.30
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $800.87 / $1,971.52	Facility		$332.00	$800.87	$1,971.52
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $695.52 / $695.52 / $695.52	Facility		$695.52	$695.52	$695.52
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $842.95	Facility		$555.00	$597.00	$842.95
MVP Health Care Facility/Professional Facility Modifier AS Low / Median / High Price $84.30 / $84.30 / $84.30	Facility	AS	$84.30	$84.30	$84.30
United Facility/Professional Facility Modifier Low / Median / High Price $2,264.00 / $5,248.00 / $11,200.00	Facility		$2,264.00	$5,248.00	$11,200.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $895.79 / $895.79 / $3,566.60	Facility		$895.79	$895.79	$3,566.60