Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $612.92 / $3,841.00 / $9,868.00	Facility		$612.92	$3,841.00	$9,868.00
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 $665.89 / $1,716.00 / $6,213.00	Facility		$665.89	$1,716.00	$6,213.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $538.97 / $538.97 / $538.97	Facility		$538.97	$538.97	$538.97
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $53.50 / $53.50 / $53.50	Facility	AS	$53.50	$53.50	$53.50
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $807.08 / $1,448.00	Facility		$332.00	$807.08	$1,448.00
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $448.38 / $448.38 / $448.38	Facility		$448.38	$448.38	$448.38
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $538.97 / $555.00 / $597.00	Facility		$538.97	$555.00	$597.00
MVP Health Care Facility/Professional Facility Modifier AS Low / Median / High Price $53.50 / $53.50 / $53.50	Facility	AS	$53.50	$53.50	$53.50
United Facility/Professional Facility Modifier Low / Median / High Price $2,031.00 / $4,840.00 / $9,416.00	Facility		$2,031.00	$4,840.00	$9,416.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $573.04 / $573.04 / $2,372.29	Facility		$573.04	$573.04	$2,372.29