Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,836.61 / $5,411.00 / $13,548.00	Facility		$1,836.61	$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 $2,776.03 / $2,776.03 / $12,319.50	Facility		$2,776.03	$2,776.03	$12,319.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,765.00 / $2,230.33 / $7,227.90	Facility		$1,765.00	$2,230.33	$7,227.90
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $218.55 / $218.55 / $218.55	Facility	AS	$218.55	$218.55	$218.55
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $2,154.00 / $5,138.33	Facility		$332.00	$2,154.00	$5,138.33
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,812.36 / $1,812.36 / $1,812.36	Facility		$1,812.36	$1,812.36	$1,812.36
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $2,230.33 / $12,209.00	Facility		$597.00	$2,230.33	$12,209.00
MVP Health Care Facility/Professional Facility Modifier AS Low / Median / High Price $218.55 / $218.55 / $218.55	Facility	AS	$218.55	$218.55	$218.55
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 $2,325.57 / $2,325.57 / $7,614.71	Facility		$2,325.57	$2,325.57	$7,614.71