Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,819.00 / $5,411.00 / $13,548.00	Facility		$1,819.00	$5,411.00	$13,548.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,499.00 / $7,264.00 / $13,780.00	Facility		$4,499.00	$7,264.00	$13,780.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,456.53 / $2,456.53 / $12,319.50	Facility		$2,456.53	$2,456.53	$12,319.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,765.00 / $1,973.23 / $7,227.90	Facility		$1,765.00	$1,973.23	$7,227.90
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $193.42 / $193.42 / $193.42	Facility	AS	$193.42	$193.42	$193.42
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,835.88 / $4,579.07	Facility		$332.00	$1,835.88	$4,579.07
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,600.15 / $1,600.15 / $1,600.15	Facility		$1,600.15	$1,600.15	$1,600.15
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $1,973.23 / $12,209.00	Facility		$597.00	$1,973.23	$12,209.00
MVP Health Care Facility/Professional Facility Modifier AS Low / Median / High Price $193.42 / $193.42 / $193.42	Facility	AS	$193.42	$193.42	$193.42
United Facility/Professional Facility Modifier Low / Median / High Price $996.00 / $4,194.00 / $9,202.00	Facility		$996.00	$4,194.00	$9,202.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,052.67 / $2,052.67 / $6,470.77	Facility		$2,052.67	$2,052.67	$6,470.77