Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,078.21 / $3,797.00 / $10,296.00	Facility		$1,078.21	$3,797.00	$10,296.00
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 $1,266.38 / $1,266.38 / $37,499.62	Facility		$1,266.38	$1,266.38	$37,499.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,021.03 / $1,021.03 / $1,021.03	Facility		$1,021.03	$1,021.03	$1,021.03
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $100.07 / $100.07 / $100.07	Facility	AS	$100.07	$100.07	$100.07
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,035.00 / $2,385.63	Facility		$332.00	$1,035.00	$2,385.63
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $825.69 / $825.69 / $825.69	Facility		$825.69	$825.69	$825.69
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $1,021.03	Facility		$555.00	$597.00	$1,021.03
MVP Health Care Facility/Professional Facility Modifier AS Low / Median / High Price $100.07 / $100.07 / $100.07	Facility	AS	$100.07	$100.07	$100.07
United Facility/Professional Facility Modifier Low / Median / High Price $2,705.00 / $7,719.00 / $16,692.00	Facility		$2,705.00	$7,719.00	$16,692.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,059.41 / $1,059.41 / $3,647.65	Facility		$1,059.41	$1,059.41	$3,647.65