Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,422.42 / $4,109.00 / $10,170.00	Facility		$1,422.42	$4,109.00	$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 $1,665.18 / $1,665.18 / $37,499.62	Facility		$1,665.18	$1,665.18	$37,499.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,342.74 / $1,342.74 / $7,227.90	Facility		$1,342.74	$1,342.74	$7,227.90
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $131.97 / $131.97 / $131.97	Facility	AS	$131.97	$131.97	$131.97
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,609.00 / $3,138.10	Facility		$332.00	$1,609.00	$3,138.10
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,095.53 / $1,095.53 / $1,095.53	Facility		$1,095.53	$1,095.53	$1,095.53
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $1,342.74 / $7,227.90	Facility		$597.00	$1,342.74	$7,227.90
MVP Health Care Facility/Professional Facility Modifier AS Low / Median / High Price $131.97 / $131.97 / $131.97	Facility	AS	$131.97	$131.97	$131.97
United Facility/Professional Facility Modifier Low / Median / High Price $1,694.00 / $4,893.00 / $11,176.00	Facility		$1,694.00	$4,893.00	$11,176.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,400.77 / $1,400.77 / $4,110.56	Facility		$1,400.77	$1,400.77	$4,110.56