Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $785.56 / $2,626.00 / $7,307.00	Facility		$785.56	$2,626.00	$7,307.00
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 $858.52 / $1,716.00 / $6,213.00	Facility		$858.52	$1,716.00	$6,213.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,051.54 / $1,051.54 / $1,051.54	Facility		$1,051.54	$1,051.54	$1,051.54
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $105.15 / $105.15 / $105.15	Facility	AS	$105.15	$105.15	$105.15
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $660.41 / $1,617.21	Facility		$332.00	$660.41	$1,617.21
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $771.25 / $771.25 / $771.25	Facility		$771.25	$771.25	$771.25
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,051.54 / $15,753.00	Facility		$555.00	$1,051.54	$15,753.00
MVP Health Care Facility/Professional Facility Modifier AS Low / Median / High Price $105.15 / $105.15 / $105.15	Facility	AS	$105.15	$105.15	$105.15
United Facility/Professional Facility Modifier Low / Median / High Price $2,341.00 / $6,700.00 / $16,782.00	Facility		$2,341.00	$6,700.00	$16,782.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $741.18 / $741.18 / $2,848.32	Facility		$741.18	$741.18	$2,848.32