Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,191.35 / $4,392.00 / $10,024.00	Facility		$1,191.35	$4,392.00	$10,024.00
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 $1,324.79 / $1,324.79 / $37,499.62	Facility		$1,324.79	$1,324.79	$37,499.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,062.48 / $1,062.48 / $1,062.48	Facility		$1,062.48	$1,062.48	$1,062.48
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $105.51 / $105.51 / $105.51	Facility	AS	$105.51	$105.51	$105.51
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,210.00 / $2,500.04	Facility		$332.00	$1,210.00	$2,500.04
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $878.55 / $878.55 / $878.55	Facility		$878.55	$878.55	$878.55
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $1,062.48	Facility		$555.00	$597.00	$1,062.48
MVP Health Care Facility/Professional Facility Modifier AS Low / Median / High Price $105.51 / $105.51 / $105.51	Facility	AS	$105.51	$105.51	$105.51
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 $1,121.27 / $1,121.27 / $4,358.85	Facility		$1,121.27	$1,121.27	$4,358.85