Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,126.92 / $3,832.00 / $9,038.00	Facility		$1,126.92	$3,832.00	$9,038.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,283.00 / $5,434.00 / $12,168.00	Facility		$3,283.00	$5,434.00	$12,168.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,300.59 / $1,300.59 / $37,499.62	Facility		$1,300.59	$1,300.59	$37,499.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,064.61 / $1,064.61 / $1,064.61	Facility		$1,064.61	$1,064.61	$1,064.61
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $104.84 / $104.84 / $104.84	Facility	AS	$104.84	$104.84	$104.84
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,215.00 / $2,507.96	Facility		$332.00	$1,215.00	$2,507.96
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $881.49 / $881.49 / $881.49	Facility		$881.49	$881.49	$881.49
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $1,064.61	Facility		$555.00	$597.00	$1,064.61
MVP Health Care Facility/Professional Facility Modifier AS Low / Median / High Price $104.84 / $104.84 / $104.84	Facility	AS	$104.84	$104.84	$104.84
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 $1,113.99 / $1,113.99 / $3,773.11	Facility		$1,113.99	$1,113.99	$3,773.11