Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $848.68 / $3,703.00 / $8,907.44	Facility		$848.68	$3,703.00	$8,907.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,373.00 / $4,085.00 / $8,281.00	Facility		$2,373.00	$4,085.00	$8,281.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $979.93 / $1,716.00 / $6,213.00	Facility		$979.93	$1,716.00	$6,213.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $786.77 / $786.77 / $4,612.43	Facility		$786.77	$786.77	$4,612.43
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $77.44 / $77.44 / $77.44	Facility	AS	$77.44	$77.44	$77.44
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $656.25 / $1,803.17	Facility		$332.00	$656.25	$1,803.17
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $639.45 / $639.45 / $646.08	Facility		$639.45	$639.45	$646.08
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $786.77 / $4,612.43	Facility		$597.00	$786.77	$4,612.43
MVP Health Care Facility/Professional Facility Modifier AS Low / Median / High Price $77.44 / $77.44 / $77.44	Facility	AS	$77.44	$77.44	$77.44
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 $646.08 / $827.85 / $2,606.15	Facility		$646.08	$827.85	$2,606.15