Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $5,248.07 / $11,748.98	Facility		$281.84	$5,248.07	$11,748.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $8,317.64 / $16,595.87	Facility		$4,466.84	$8,317.64	$16,595.87
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $263.03 / $12,302.69	Facility		$263.03	$263.03	$12,302.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $316.23 / $12,302.69	Facility		$34.67	$316.23	$12,302.69
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $31.62 / $31.62 / $31.62	Facility	AS	$31.62	$31.62	$31.62
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $275.42 / $645.65	Facility		$199.53	$275.42	$645.65
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $169.82 / $169.82	Facility		$169.82	$169.82	$169.82
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $50,118.72 / $75,857.76	Facility		$194.98	$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 $147.91 / $218.78 / $676.08	Facility		$147.91	$218.78	$676.08