Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $942.78 / $4,629.00 / $11,396.00	Facility		$942.78	$4,629.00	$11,396.00
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 $1,089.60 / $2,390.00 / $10,957.50	Facility		$1,089.60	$2,390.00	$10,957.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $869.79 / $869.79 / $869.79	Facility		$869.79	$869.79	$869.79
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $86.98 / $86.98 / $86.98	Facility	AS	$86.98	$86.98	$86.98
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $900.00 / $2,030.11	Facility		$332.00	$900.00	$2,030.11
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $716.58 / $716.58 / $716.58	Facility		$716.58	$716.58	$716.58
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $869.79	Facility		$555.00	$597.00	$869.79
MVP Health Care Facility/Professional Facility Modifier AS Low / Median / High Price $86.98 / $86.98 / $86.98	Facility	AS	$86.98	$86.98	$86.98
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 $924.37 / $924.37 / $3,626.38	Facility		$924.37	$924.37	$3,626.38