Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,819.00 / $4,441.00 / $10,024.00	Facility		$1,819.00	$4,441.00	$10,024.00
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 $2,896.43 / $2,896.43 / $37,499.62	Facility		$2,896.43	$2,896.43	$37,499.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,322.32 / $2,322.32 / $2,322.32	Facility		$2,322.32	$2,322.32	$2,322.32
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $229.28 / $229.28 / $229.28	Facility	AS	$229.28	$229.28	$229.28
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $2,191.17 / $5,442.64	Facility		$332.00	$2,191.17	$5,442.64
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,910.49 / $1,910.49 / $1,910.49	Facility		$1,910.49	$1,910.49	$1,910.49
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $2,322.32	Facility		$555.00	$597.00	$2,322.32
MVP Health Care Facility/Professional Facility Modifier AS Low / Median / High Price $229.28 / $229.28 / $229.28	Facility	AS	$229.28	$229.28	$229.28
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 $2,436.42 / $2,436.42 / $5,668.98	Facility		$2,436.42	$2,436.42	$5,668.98