Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $550.03 / $4,629.00 / $10,965.00	Facility		$550.03	$4,629.00	$10,965.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,248.00 / $5,196.00 / $11,909.00	Facility		$3,248.00	$5,196.00	$11,909.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $638.35 / $2,390.00 / $10,957.50	Facility		$638.35	$2,390.00	$10,957.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $512.97 / $512.97 / $512.97	Facility		$512.97	$512.97	$512.97
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $50.85 / $50.85 / $50.85	Facility	AS	$50.85	$50.85	$50.85
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $768.22 / $1,345.60	Facility		$332.00	$768.22	$1,345.60
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $426.79 / $426.79 / $426.79	Facility		$426.79	$426.79	$426.79
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $512.97 / $555.00 / $597.00	Facility		$512.97	$555.00	$597.00
MVP Health Care Facility/Professional Facility Modifier AS Low / Median / High Price $50.85 / $50.85 / $50.85	Facility	AS	$50.85	$50.85	$50.85
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 $543.16 / $543.16 / $2,171.67	Facility		$543.16	$543.16	$2,171.67