Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,235.16 / $4,629.00 / $10,674.00	Facility		$1,235.16	$4,629.00	$10,674.00
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 $1,434.45 / $1,434.45 / $37,499.62	Facility		$1,434.45	$1,434.45	$37,499.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,155.76 / $1,155.76 / $1,155.76	Facility		$1,155.76	$1,155.76	$1,155.76
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $114.90 / $114.90 / $114.90	Facility	AS	$114.90	$114.90	$114.90
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,546.00 / $2,722.30	Facility		$332.00	$1,546.00	$2,722.30
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $957.12 / $957.12 / $957.12	Facility		$957.12	$957.12	$957.12
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $1,155.76	Facility		$555.00	$597.00	$1,155.76
MVP Health Care Facility/Professional Facility Modifier AS Low / Median / High Price $114.90 / $114.90 / $114.90	Facility	AS	$114.90	$114.90	$114.90
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 $1,220.97 / $1,220.97 / $4,396.22	Facility		$1,220.97	$1,220.97	$4,396.22