Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $962.55 / $4,629.00 / $10,686.00	Facility		$962.55	$4,629.00	$10,686.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,248.00 / $5,196.00 / $11,909.00	Facility		$3,248.00	$5,196.00	$11,909.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,035.33 / $2,390.00 / $10,957.50	Facility		$1,035.33	$2,390.00	$10,957.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $836.22 / $836.22 / $836.22	Facility		$836.22	$836.22	$836.22
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $83.10 / $83.10 / $83.10	Facility	AS	$83.10	$83.10	$83.10
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,149.00 / $1,969.58	Facility		$332.00	$1,149.00	$1,969.58
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $692.38 / $692.38 / $692.38	Facility		$692.38	$692.38	$692.38
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $836.22	Facility		$555.00	$597.00	$836.22
MVP Health Care Facility/Professional Facility Modifier AS Low / Median / High Price $83.10 / $83.10 / $83.10	Facility	AS	$83.10	$83.10	$83.10
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 $882.97 / $882.97 / $3,227.90	Facility		$882.97	$882.97	$3,227.90