Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,374.05 / $3,100.00 / $10,170.00	Facility		$1,374.05	$3,100.00	$10,170.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,499.00 / $7,264.00 / $13,780.00	Facility		$4,499.00	$7,264.00	$13,780.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,619.83 / $3,183.00 / $13,009.50	Facility		$1,619.83	$3,183.00	$13,009.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,307.42 / $1,307.42 / $7,227.90	Facility		$1,307.42	$1,307.42	$7,227.90
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $128.13 / $128.13 / $128.13	Facility	AS	$128.13	$128.13	$128.13
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,272.00 / $3,066.23	Facility		$332.00	$1,272.00	$3,066.23
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,056.34 / $1,056.34 / $1,056.34	Facility		$1,056.34	$1,056.34	$1,056.34
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $1,307.42 / $7,227.90	Facility		$597.00	$1,307.42	$7,227.90
MVP Health Care Facility/Professional Facility Modifier AS Low / Median / High Price $128.13 / $128.13 / $128.13	Facility	AS	$128.13	$128.13	$128.13
United Facility/Professional Facility Modifier Low / Median / High Price $1,419.00 / $3,962.00 / $7,222.00	Facility		$1,419.00	$3,962.00	$7,222.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,354.93 / $1,354.93 / $2,986.91	Facility		$1,354.93	$1,354.93	$2,986.91