Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,195.95 / $3,020.00 / $9,661.00	Facility		$1,195.95	$3,020.00	$9,661.00
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 $1,406.84 / $1,406.84 / $37,499.62	Facility		$1,406.84	$1,406.84	$37,499.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,138.50 / $1,138.50 / $7,227.90	Facility		$1,138.50	$1,138.50	$7,227.90
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $111.55 / $111.55 / $111.55	Facility	AS	$111.55	$111.55	$111.55
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,052.49 / $2,595.89	Facility		$332.00	$1,052.49	$2,595.89
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $926.75 / $926.75 / $926.75	Facility		$926.75	$926.75	$926.75
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $1,138.50 / $7,227.90	Facility		$597.00	$1,138.50	$7,227.90
MVP Health Care Facility/Professional Facility Modifier AS Low / Median / High Price $111.55 / $111.55 / $111.55	Facility	AS	$111.55	$111.55	$111.55
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 $1,190.47 / $1,190.47 / $3,828.77	Facility		$1,190.47	$1,190.47	$3,828.77