Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,626.00 / $5,699.00 / $12,051.00	Facility		$2,626.00	$5,699.00	$12,051.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,070.00 / $6,992.00 / $12,173.00	Facility		$4,070.00	$6,992.00	$12,173.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $4,982.42 / $4,982.42 / $37,499.62	Facility		$4,982.42	$4,982.42	$37,499.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,765.00 / $4,013.89 / $7,227.90	Facility		$1,765.00	$4,013.89	$7,227.90
Cigna Facility/Professional Facility Modifier 62 Low / Median / High Price $2,448.96 / $2,448.96 / $2,448.96	Facility	62	$2,448.96	$2,448.96	$2,448.96
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $391.83 / $391.83 / $391.83	Facility	AS	$391.83	$391.83	$391.83
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $4,488.80 / $9,376.56	Facility		$332.00	$4,488.80	$9,376.56
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,227.48 / $3,227.48 / $3,227.48	Facility		$3,227.48	$3,227.48	$3,227.48
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $4,013.89 / $7,227.90	Facility		$597.00	$4,013.89	$7,227.90
MVP Health Care Facility/Professional Facility Modifier 62 Low / Median / High Price $2,448.96 / $2,448.96 / $2,448.96	Facility	62	$2,448.96	$2,448.96	$2,448.96
MVP Health Care Facility/Professional Facility Modifier AS Low / Median / High Price $391.83 / $391.83 / $391.83	Facility	AS	$391.83	$391.83	$391.83
United Facility/Professional Facility Modifier Low / Median / High Price $996.00 / $4,194.00 / $9,020.04	Facility		$996.00	$4,194.00	$9,020.04
Univera Facility/Professional Facility Modifier Low / Median / High Price $4,142.41 / $4,142.41 / $5,462.10	Facility		$4,142.41	$4,142.41	$5,462.10