Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,330.09 / $5,125.00 / $12,051.00	Facility		$1,330.09	$5,125.00	$12,051.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,283.00 / $4,975.00 / $11,448.00	Facility		$3,283.00	$4,975.00	$11,448.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,537.97 / $1,537.97 / $37,499.62	Facility		$1,537.97	$1,537.97	$37,499.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,243.03 / $1,243.03 / $7,227.90	Facility		$1,243.03	$1,243.03	$7,227.90
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $121.95 / $121.95 / $121.95	Facility	AS	$121.95	$121.95	$121.95
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $840.00 / $2,919.80	Facility		$332.00	$840.00	$2,919.80
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,009.05 / $1,009.05 / $1,009.05	Facility		$1,009.05	$1,009.05	$1,009.05
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $1,243.03 / $7,227.90	Facility		$597.00	$1,243.03	$7,227.90
MVP Health Care Facility/Professional Facility Modifier AS Low / Median / High Price $121.95 / $121.95 / $121.95	Facility	AS	$121.95	$121.95	$121.95
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 $1,290.34 / $1,290.34 / $3,890.04	Facility		$1,290.34	$1,290.34	$3,890.04