Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $5,370.32 / $12,589.25	Facility		$1,621.81	$5,370.32	$12,589.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $8,511.38 / $16,595.87	Facility		$4,466.84	$8,511.38	$16,595.87
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $1,862.09 / $37,153.52	Facility		$1,862.09	$1,862.09	$37,153.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $2,238.72 / $12,302.69	Facility		$34.67	$2,238.72	$12,302.69
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $2,691.53 / $2,691.53 / $2,691.53	Facility	22	$2,691.53	$2,691.53	$2,691.53
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $223.87 / $223.87 / $223.87	Facility	AS	$223.87	$223.87	$223.87
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $2,041.74 / $4,786.30	Facility		$1,348.96	$2,041.74	$4,786.30
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 / $9,332.54	Facility		$1,412.54	$4,073.80	$9,332.54
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,584.89 / $5,248.07	Facility		$1,071.52	$1,584.89	$5,248.07