Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $863.47 / $5,168.00 / $11,690.94	Facility		$863.47	$5,168.00	$11,690.94
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 $957.47 / $2,390.00 / $10,957.50	Facility		$957.47	$2,390.00	$10,957.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $772.24 / $772.24 / $772.24	Facility		$772.24	$772.24	$772.24
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $76.84 / $76.84 / $76.84	Facility	AS	$76.84	$76.84	$76.84
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,092.00 / $1,817.01	Facility		$332.00	$1,092.00	$1,817.01
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $639.61 / $639.61 / $639.61	Facility		$639.61	$639.61	$639.61
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $772.24	Facility		$555.00	$597.00	$772.24
MVP Health Care Facility/Professional Facility Modifier AS Low / Median / High Price $76.84 / $76.84 / $76.84	Facility	AS	$76.84	$76.84	$76.84
United Facility/Professional Facility Modifier Low / Median / High Price $2,264.00 / $5,963.00 / $14,457.00	Facility		$2,264.00	$5,963.00	$14,457.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $816.67 / $816.67 / $3,084.34	Facility		$816.67	$816.67	$3,084.34