Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,032.90 / $5,157.00 / $11,880.00	Facility		$1,032.90	$5,157.00	$11,880.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,749.00 / $9,877.00 / $16,490.00	Facility		$4,749.00	$9,877.00	$16,490.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,156.09 / $2,644.00 / $12,319.50	Facility		$1,156.09	$2,644.00	$12,319.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $929.59 / $929.59 / $929.59	Facility		$929.59	$929.59	$929.59
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $92.68 / $92.68 / $92.68	Facility	AS	$92.68	$92.68	$92.68
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,055.00 / $2,189.30	Facility		$332.00	$1,055.00	$2,189.30
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $769.73 / $769.73 / $769.73	Facility		$769.73	$769.73	$769.73
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $929.59	Facility		$555.00	$597.00	$929.59
MVP Health Care Facility/Professional Facility Modifier AS Low / Median / High Price $92.68 / $92.68 / $92.68	Facility	AS	$92.68	$92.68	$92.68
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 $984.66 / $984.66 / $3,696.91	Facility		$984.66	$984.66	$3,696.91