Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $3,162.28 / $10,964.78	Facility		$1,621.81	$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 $1,905.46 / $1,905.46 / $37,153.52	Facility		$1,905.46	$1,905.46	$37,153.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $2,290.87 / $7,762.47	Facility		$34.67	$2,290.87	$7,762.47
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $2,754.23 / $2,754.23 / $2,754.23	Facility	22	$2,754.23	$2,754.23	$2,754.23
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $1,819.70 / $1,819.70 / $1,819.70	Facility	52	$1,819.70	$1,819.70	$1,819.70
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $229.09 / $229.09 / $229.09	Facility	AS	$229.09	$229.09	$229.09
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,949.84 / $4,897.79	Facility		$1,348.96	$1,949.84	$4,897.79
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $1,230.27	Facility		$1,230.27	$1,230.27	$1,230.27
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $50,118.72 / $75,857.76	Facility		$1,318.26	$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 $1,071.52 / $1,584.89 / $5,011.87	Facility		$1,071.52	$1,584.89	$5,011.87