Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,809.18 / $5,157.00 / $11,396.00	Facility		$1,809.18	$5,157.00	$11,396.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,283.00 / $5,434.00 / $12,228.00	Facility		$3,283.00	$5,434.00	$12,228.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,072.67 / $2,072.67 / $37,499.62	Facility		$2,072.67	$2,072.67	$37,499.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,668.85 / $1,668.85 / $1,668.85	Facility		$1,668.85	$1,668.85	$1,668.85
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $165.90 / $165.90 / $165.90	Facility	AS	$165.90	$165.90	$165.90
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,500.00 / $3,917.00	Facility		$332.00	$1,500.00	$3,917.00
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,375.78 / $1,375.78 / $1,375.78	Facility		$1,375.78	$1,375.78	$1,375.78
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $1,668.85	Facility		$555.00	$597.00	$1,668.85
MVP Health Care Facility/Professional Facility Modifier AS Low / Median / High Price $165.90 / $165.90 / $165.90	Facility	AS	$165.90	$165.90	$165.90
United Facility/Professional Facility Modifier Low / Median / High Price $2,705.00 / $6,344.00 / $14,069.00	Facility		$2,705.00	$6,344.00	$14,069.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,762.59 / $1,762.59 / $6,566.04	Facility		$1,762.59	$1,762.59	$6,566.04