Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,819.00 / $5,157.00 / $11,396.00	Facility		$1,819.00	$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 $2,329.77 / $2,329.77 / $37,499.62	Facility		$2,329.77	$2,329.77	$37,499.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,869.23 / $1,869.23 / $1,869.23	Facility		$1,869.23	$1,869.23	$1,869.23
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $184.84 / $184.84 / $184.84	Facility	AS	$184.84	$184.84	$184.84
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $2,443.00 / $4,383.77	Facility		$332.00	$2,443.00	$4,383.77
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,540.16 / $1,540.16 / $1,540.16	Facility		$1,540.16	$1,540.16	$1,540.16
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $1,869.23	Facility		$555.00	$597.00	$1,869.23
MVP Health Care Facility/Professional Facility Modifier AS Low / Median / High Price $184.84 / $184.84 / $184.84	Facility	AS	$184.84	$184.84	$184.84
United Facility/Professional Facility Modifier Low / Median / High Price $1,514.00 / $5,547.00 / $13,746.00	Facility		$1,514.00	$5,547.00	$13,746.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,964.57 / $1,964.57 / $7,512.98	Facility		$1,964.57	$1,964.57	$7,512.98