Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $685.73 / $3,579.00 / $9,523.00	Facility		$685.73	$3,579.00	$9,523.00
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 $735.13 / $1,990.00 / $8,917.50	Facility		$735.13	$1,990.00	$8,917.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $916.89 / $916.89 / $916.89	Facility		$916.89	$916.89	$916.89
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $91.69 / $91.69 / $91.69	Facility	AS	$91.69	$91.69	$91.69
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $575.80 / $1,408.73	Facility		$332.00	$575.80	$1,408.73
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $671.56 / $671.56 / $671.56	Facility		$671.56	$671.56	$671.56
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $916.89	Facility		$555.00	$597.00	$916.89
MVP Health Care Facility/Professional Facility Modifier AS Low / Median / High Price $91.69 / $91.69 / $91.69	Facility	AS	$91.69	$91.69	$91.69
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 $653.22 / $653.22 / $2,480.09	Facility		$653.22	$653.22	$2,480.09