Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,242.00 / $5,157.00 / $11,396.00	Facility		$1,242.00	$5,157.00	$11,396.00
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 $1,368.32 / $1,368.32 / $37,499.62	Facility		$1,368.32	$1,368.32	$37,499.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,096.83 / $1,096.83 / $1,096.83	Facility		$1,096.83	$1,096.83	$1,096.83
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $109.68 / $109.68 / $109.68	Facility	AS	$109.68	$109.68	$109.68
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,040.82 / $2,574.27	Facility		$332.00	$1,040.82	$2,574.27
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $905.52 / $905.52 / $905.52	Facility		$905.52	$905.52	$905.52
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $1,096.83	Facility		$555.00	$597.00	$1,096.83
MVP Health Care Facility/Professional Facility Modifier AS Low / Median / High Price $109.68 / $109.68 / $109.68	Facility	AS	$109.68	$109.68	$109.68
United Facility/Professional Facility Modifier Low / Median / High Price $2,341.00 / $6,700.00 / $16,782.00	Facility		$2,341.00	$6,700.00	$16,782.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,164.89 / $1,164.89 / $4,109.12	Facility		$1,164.89	$1,164.89	$4,109.12