Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,516.00 / $5,228.00 / $12,075.00	Facility		$1,516.00	$5,228.00	$12,075.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,760.00 / $10,036.00 / $17,872.00	Facility		$4,760.00	$10,036.00	$17,872.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,693.67 / $1,693.67 / $37,499.62	Facility		$1,693.67	$1,693.67	$37,499.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,360.16 / $1,360.16 / $1,360.16	Facility		$1,360.16	$1,360.16	$1,360.16
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $135.00 / $135.00 / $135.00	Facility	AS	$135.00	$135.00	$135.00
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,200.00 / $3,199.57	Facility		$332.00	$1,200.00	$3,199.57
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,124.41 / $1,124.41 / $1,124.41	Facility		$1,124.41	$1,124.41	$1,124.41
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $1,360.16	Facility		$555.00	$597.00	$1,360.16
MVP Health Care Facility/Professional Facility Modifier AS Low / Median / High Price $135.00 / $135.00 / $135.00	Facility	AS	$135.00	$135.00	$135.00
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 $1,434.59 / $1,434.59 / $5,280.37	Facility		$1,434.59	$1,434.59	$5,280.37