Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $968.65 / $5,069.00 / $11,396.00	Facility		$968.65	$5,069.00	$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 $1,054.08 / $1,054.08 / $37,499.62	Facility		$1,054.08	$1,054.08	$37,499.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $845.76 / $845.76 / $845.76	Facility		$845.76	$845.76	$845.76
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $84.03 / $84.03 / $84.03	Facility	AS	$84.03	$84.03	$84.03
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $803.39 / $1,991.16	Facility		$332.00	$803.39	$1,991.16
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $699.91 / $699.91 / $699.91	Facility		$699.91	$699.91	$699.91
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $845.76	Facility		$555.00	$597.00	$845.76
MVP Health Care Facility/Professional Facility Modifier AS Low / Median / High Price $84.03 / $84.03 / $84.03	Facility	AS	$84.03	$84.03	$84.03
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 $892.97 / $892.97 / $3,578.87	Facility		$892.97	$892.97	$3,578.87