Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,416.82 / $3,100.00 / $10,170.00	Facility		$1,416.82	$3,100.00	$10,170.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,283.00 / $5,007.00 / $12,164.00	Facility		$3,283.00	$5,007.00	$12,164.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,914.68 / $1,914.68 / $37,499.62	Facility		$1,914.68	$1,914.68	$37,499.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,549.62 / $1,549.62 / $7,227.90	Facility		$1,549.62	$1,549.62	$7,227.90
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $152.11 / $152.11 / $152.11	Facility	AS	$152.11	$152.11	$152.11
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,350.00 / $3,650.24	Facility		$332.00	$1,350.00	$3,650.24
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,258.08 / $1,258.08 / $1,258.08	Facility		$1,258.08	$1,258.08	$1,258.08
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $1,549.62 / $7,227.90	Facility		$597.00	$1,549.62	$7,227.90
MVP Health Care Facility/Professional Facility Modifier AS Low / Median / High Price $152.11 / $152.11 / $152.11	Facility	AS	$152.11	$152.11	$152.11
United Facility/Professional Facility Modifier Low / Median / High Price $1,694.00 / $4,893.00 / $11,176.00	Facility		$1,694.00	$4,893.00	$11,176.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,608.33 / $1,608.33 / $3,778.22	Facility		$1,608.33	$1,608.33	$3,778.22