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 $2,546.94 / $2,546.94 / $12,319.50	Facility		$2,546.94	$2,546.94	$12,319.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,765.00 / $2,052.10 / $7,227.90	Facility		$1,765.00	$2,052.10	$7,227.90
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $200.73 / $200.73 / $200.73	Facility	AS	$200.73	$200.73	$200.73
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,995.00 / $4,729.05	Facility		$332.00	$1,995.00	$4,729.05
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,667.27 / $1,667.27 / $1,667.27	Facility		$1,667.27	$1,667.27	$1,667.27
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $2,052.10 / $12,209.00	Facility		$597.00	$2,052.10	$12,209.00
MVP Health Care Facility/Professional Facility Modifier AS Low / Median / High Price $200.73 / $200.73 / $200.73	Facility	AS	$200.73	$200.73	$200.73
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 $2,136.21 / $2,136.21 / $7,018.18	Facility		$2,136.21	$2,136.21	$7,018.18