Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,817.98 / $3,461.62 / $10,170.00	Facility		$1,817.98	$3,461.62	$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 $2,201.91 / $2,201.91 / $37,499.62	Facility		$2,201.91	$2,201.91	$37,499.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,765.00 / $1,784.51 / $7,227.90	Facility		$1,765.00	$1,784.51	$7,227.90
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $175.15 / $175.15 / $175.15	Facility	AS	$175.15	$175.15	$175.15
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,575.00 / $4,198.79	Facility		$332.00	$1,575.00	$4,198.79
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,447.27 / $1,447.27 / $1,447.27	Facility		$1,447.27	$1,447.27	$1,447.27
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $1,784.51 / $7,227.90	Facility		$597.00	$1,784.51	$7,227.90
MVP Health Care Facility/Professional Facility Modifier AS Low / Median / High Price $175.15 / $175.15 / $175.15	Facility	AS	$175.15	$175.15	$175.15
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 $1,851.92 / $1,851.92 / $5,503.18	Facility		$1,851.92	$1,851.92	$5,503.18