Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $192.10 / $4,209.00 / $12,051.00	Facility		$192.10	$4,209.00	$12,051.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,651.00 / $3,263.00 / $4,636.00	Facility		$1,651.00	$3,263.00	$4,636.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $221.55 / $1,254.00 / $6,213.00	Facility		$221.55	$1,254.00	$6,213.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $179.16 / $179.16 / $7,227.90	Facility		$179.16	$179.16	$7,227.90
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $17.41 / $17.41 / $17.41	Facility	AS	$17.41	$17.41	$17.41
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $165.14 / $257.70 / $599.55	Facility		$165.14	$257.70	$599.55
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $143.16 / $143.16 / $143.16	Facility		$143.16	$143.16	$143.16
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $179.16 / $555.00 / $12,209.00	Facility		$179.16	$555.00	$12,209.00
MVP Health Care Facility/Professional Facility Modifier AS Low / Median / High Price $17.41 / $17.41 / $17.41	Facility	AS	$17.41	$17.41	$17.41
United Facility/Professional Facility Modifier Low / Median / High Price $996.00 / $4,194.00 / $9,202.00	Facility		$996.00	$4,194.00	$9,202.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $183.98 / $183.98 / $414.19	Facility		$183.98	$183.98	$414.19