Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $792.98 / $5,324.00 / $14,926.00	Facility		$792.98	$5,324.00	$14,926.00
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 $892.49 / $3,478.50 / $13,477.50	Facility		$892.49	$3,478.50	$13,477.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $726.86 / $726.86 / $726.86	Facility		$726.86	$726.86	$726.86
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $71.95 / $71.95 / $71.95	Facility	AS	$71.95	$71.95	$71.95
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $879.00 / $1,705.32	Facility		$332.00	$879.00	$1,705.32
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $602.55 / $602.55 / $602.55	Facility		$602.55	$602.55	$602.55
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $726.86	Facility		$555.00	$597.00	$726.86
MVP Health Care Facility/Professional Facility Modifier AS Low / Median / High Price $71.95 / $71.95 / $71.95	Facility	AS	$71.95	$71.95	$71.95
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 $765.54 / $765.54 / $2,840.29	Facility		$765.54	$765.54	$2,840.29