Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,233.13 / $3,100.00 / $10,170.00	Facility		$1,233.13	$3,100.00	$10,170.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,283.00 / $4,975.00 / $11,448.00	Facility		$3,283.00	$4,975.00	$11,448.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,462.02 / $1,462.02 / $37,499.62	Facility		$1,462.02	$1,462.02	$37,499.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,181.39 / $1,181.39 / $7,227.90	Facility		$1,181.39	$1,181.39	$7,227.90
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $115.95 / $115.95 / $115.95	Facility	AS	$115.95	$115.95	$115.95
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,105.00 / $2,751.84	Facility		$332.00	$1,105.00	$2,751.84
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $962.21 / $962.21 / $962.21	Facility		$962.21	$962.21	$962.21
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $1,181.39 / $7,227.90	Facility		$597.00	$1,181.39	$7,227.90
MVP Health Care Facility/Professional Facility Modifier AS Low / Median / High Price $115.95 / $115.95 / $115.95	Facility	AS	$115.95	$115.95	$115.95
United Facility/Professional Facility Modifier Low / Median / High Price $996.00 / $4,194.00 / $9,020.04	Facility		$996.00	$4,194.00	$9,020.04
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,230.98 / $1,230.98 / $3,823.66	Facility		$1,230.98	$1,230.98	$3,823.66