Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,010.27 / $4,051.00 / $11,396.00	Facility		$1,010.27	$4,051.00	$11,396.00
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 $1,214.48 / $1,990.00 / $8,917.50	Facility		$1,214.48	$1,990.00	$8,917.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $972.74 / $972.74 / $972.74	Facility		$972.74	$972.74	$972.74
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $96.93 / $96.93 / $96.93	Facility	AS	$96.93	$96.93	$96.93
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,265.00 / $2,288.84	Facility		$332.00	$1,265.00	$2,288.84
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $805.57 / $805.57 / $805.57	Facility		$805.57	$805.57	$805.57
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $972.74	Facility		$555.00	$597.00	$972.74
MVP Health Care Facility/Professional Facility Modifier AS Low / Median / High Price $96.93 / $96.93 / $96.93	Facility	AS	$96.93	$96.93	$96.93
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 $1,030.15 / $1,030.15 / $3,828.36	Facility		$1,030.15	$1,030.15	$3,828.36