Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $4,265.80 / $10,000.00	Facility		$1,288.25	$4,265.80	$10,000.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $5,888.44 / $12,302.69	Facility		$3,388.44	$5,888.44	$12,302.69
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,995.26 / $8,912.51	Facility		$1,380.38	$1,995.26	$8,912.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $50,118.72	Facility		$1,659.59	$1,659.59	$50,118.72
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $165.96 / $165.96 / $165.96	Facility	AS	$165.96	$165.96	$165.96
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,318.26 / $3,467.37	Facility		$1,071.52	$1,318.26	$3,467.37
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $912.01 / $912.01	Facility		$912.01	$912.01	$912.01
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $50,118.72 / $75,857.76	Facility		$1,023.29	$50,118.72	$75,857.76
United Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $5,888.44 / $14,791.08	Facility		$2,398.83	$5,888.44	$14,791.08
Univera Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,174.90 / $4,466.84	Facility		$794.33	$1,174.90	$4,466.84