Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,266.89 / $3,020.00 / $10,170.00	Facility		$1,266.89	$3,020.00	$10,170.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,283.00 / $6,041.00 / $14,530.00	Facility		$3,283.00	$6,041.00	$14,530.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,523.46 / $1,523.46 / $37,499.62	Facility		$1,523.46	$1,523.46	$37,499.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,229.08 / $1,229.08 / $7,227.90	Facility		$1,229.08	$1,229.08	$7,227.90
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $120.64 / $120.64 / $120.64	Facility	AS	$120.64	$120.64	$120.64
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,097.25 / $2,819.99	Facility		$332.00	$1,097.25	$2,819.99
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,006.43 / $1,006.43 / $1,006.43	Facility		$1,006.43	$1,006.43	$1,006.43
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $1,229.08 / $7,227.90	Facility		$597.00	$1,229.08	$7,227.90
MVP Health Care Facility/Professional Facility Modifier AS Low / Median / High Price $120.64 / $120.64 / $120.64	Facility	AS	$120.64	$120.64	$120.64
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 $1,288.45 / $1,288.45 / $3,893.15	Facility		$1,288.45	$1,288.45	$3,893.15