Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $3,162.28 / $10,964.78	Facility		$162.18	$3,162.28	$10,964.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $5,888.44 / $12,302.69	Facility		$3,311.31	$5,888.44	$12,302.69
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $169.82 / $37,153.52	Facility		$169.82	$169.82	$37,153.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $204.17 / $7,762.47	Facility		$34.67	$204.17	$7,762.47
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $20.42 / $20.42 / $20.42	Facility	AS	$20.42	$20.42	$20.42
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $208.93 / $416.87	Facility		$128.82	$208.93	$416.87
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $109.65 / $109.65	Facility		$109.65	$109.65	$109.65
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $50,118.72 / $75,857.76	Facility		$123.03	$50,118.72	$75,857.76
United Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $4,073.80 / $9,120.11	Facility		$1,412.54	$4,073.80	$9,120.11
Univera Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $141.25 / $512.86	Facility		$95.50	$141.25	$512.86