Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,111.06 / $3,841.00 / $9,038.00	Facility		$1,111.06	$3,841.00	$9,038.00
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 $1,246.90 / $3,183.00 / $13,009.50	Facility		$1,246.90	$3,183.00	$13,009.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,006.12 / $1,006.12 / $1,006.12	Facility		$1,006.12	$1,006.12	$1,006.12
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $99.84 / $99.84 / $99.84	Facility	AS	$99.84	$99.84	$99.84
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $951.79 / $2,360.59	Facility		$332.00	$951.79	$2,360.59
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $829.20 / $829.20 / $829.20	Facility		$829.20	$829.20	$829.20
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $1,006.12	Facility		$555.00	$597.00	$1,006.12
MVP Health Care Facility/Professional Facility Modifier AS Low / Median / High Price $99.84 / $99.84 / $99.84	Facility	AS	$99.84	$99.84	$99.84
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 $1,060.67 / $1,060.67 / $2,522.04	Facility		$1,060.67	$1,060.67	$2,522.04