Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $879.08 / $4,392.00 / $10,024.00	Facility		$879.08	$4,392.00	$10,024.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,283.00 / $5,279.00 / $11,909.00	Facility		$3,283.00	$5,279.00	$11,909.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $973.28 / $973.28 / $37,499.62	Facility		$973.28	$973.28	$37,499.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $786.75 / $786.75 / $786.75	Facility		$786.75	$786.75	$786.75
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $78.14 / $78.14 / $78.14	Facility	AS	$78.14	$78.14	$78.14
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,140.00 / $1,854.45	Facility		$332.00	$1,140.00	$1,854.45
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $651.16 / $651.16 / $651.16	Facility		$651.16	$651.16	$651.16
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $786.75	Facility		$555.00	$597.00	$786.75
MVP Health Care Facility/Professional Facility Modifier AS Low / Median / High Price $78.14 / $78.14 / $78.14	Facility	AS	$78.14	$78.14	$78.14
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 $830.22 / $830.22 / $3,033.19	Facility		$830.22	$830.22	$3,033.19