Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,219.32 / $4,629.00 / $10,674.00	Facility		$1,219.32	$4,629.00	$10,674.00
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 $1,408.41 / $1,408.41 / $37,499.62	Facility		$1,408.41	$1,408.41	$37,499.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,129.30 / $1,129.30 / $1,129.30	Facility		$1,129.30	$1,129.30	$1,129.30
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $111.81 / $111.81 / $111.81	Facility	AS	$111.81	$111.81	$111.81
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,575.00 / $2,644.29	Facility		$332.00	$1,575.00	$2,644.29
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $929.64 / $929.64 / $929.64	Facility		$929.64	$929.64	$929.64
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $1,129.30	Facility		$555.00	$597.00	$1,129.30
MVP Health Care Facility/Professional Facility Modifier AS Low / Median / High Price $111.81 / $111.81 / $111.81	Facility	AS	$111.81	$111.81	$111.81
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 $1,188.30 / $1,188.30 / $4,756.87	Facility		$1,188.30	$1,188.30	$4,756.87