Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,578.00 / $5,370.00 / $11,996.00	Facility		$1,578.00	$5,370.00	$11,996.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,283.00 / $5,434.00 / $12,228.00	Facility		$3,283.00	$5,434.00	$12,228.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,904.74 / $1,904.74 / $37,499.62	Facility		$1,904.74	$1,904.74	$37,499.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,548.07 / $1,548.07 / $1,548.07	Facility		$1,548.07	$1,548.07	$1,548.07
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $153.38 / $153.38 / $153.38	Facility	AS	$153.38	$153.38	$153.38
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,590.00 / $3,737.05	Facility		$332.00	$1,590.00	$3,737.05
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,265.83 / $1,265.83 / $1,265.83	Facility		$1,265.83	$1,265.83	$1,265.83
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $1,548.07	Facility		$555.00	$597.00	$1,548.07
MVP Health Care Facility/Professional Facility Modifier AS Low / Median / High Price $153.38 / $153.38 / $153.38	Facility	AS	$153.38	$153.38	$153.38
United Facility/Professional Facility Modifier Low / Median / High Price $2,673.00 / $7,719.00 / $18,532.00	Facility		$2,673.00	$7,719.00	$18,532.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,612.96 / $1,612.96 / $4,569.74	Facility		$1,612.96	$1,612.96	$4,569.74