Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $799.95 / $4,525.00 / $11,396.00	Facility		$799.95	$4,525.00	$11,396.00
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 $925.42 / $2,390.00 / $10,957.50	Facility		$925.42	$2,390.00	$10,957.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $748.81 / $748.81 / $748.81	Facility		$748.81	$748.81	$748.81
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $74.42 / $74.42 / $74.42	Facility	AS	$74.42	$74.42	$74.42
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $712.52 / $1,763.01	Facility		$332.00	$712.52	$1,763.01
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $620.00 / $620.00 / $620.00	Facility		$620.00	$620.00	$620.00
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $748.81	Facility		$555.00	$597.00	$748.81
MVP Health Care Facility/Professional Facility Modifier AS Low / Median / High Price $74.42 / $74.42 / $74.42	Facility	AS	$74.42	$74.42	$74.42
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 $790.83 / $790.83 / $2,939.53	Facility		$790.83	$790.83	$2,939.53