Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,220.00 / $4,733.47 / $10,170.00	Facility		$2,220.00	$4,733.47	$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 $4,387.37 / $4,387.37 / $37,499.62	Facility		$4,387.37	$4,387.37	$37,499.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,765.00 / $3,543.61 / $7,227.90	Facility		$1,765.00	$3,543.61	$7,227.90
Cigna Facility/Professional Facility Modifier 62 Low / Median / High Price $2,171.67 / $2,171.67 / $2,171.67	Facility	62	$2,171.67	$2,171.67	$2,171.67
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $347.47 / $347.47 / $347.47	Facility	AS	$347.47	$347.47	$347.47
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $2,625.00 / $8,328.62	Facility		$332.00	$2,625.00	$8,328.62
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,867.80 / $2,867.80 / $2,867.80	Facility		$2,867.80	$2,867.80	$2,867.80
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $3,543.61 / $7,227.90	Facility		$597.00	$3,543.61	$7,227.90
MVP Health Care Facility/Professional Facility Modifier 62 Low / Median / High Price $2,171.67 / $2,171.67 / $2,171.67	Facility	62	$2,171.67	$2,171.67	$2,171.67
MVP Health Care Facility/Professional Facility Modifier AS Low / Median / High Price $347.47 / $347.47 / $347.47	Facility	AS	$347.47	$347.47	$347.47
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 $3,672.80 / $3,672.80 / $11,445.42	Facility		$3,672.80	$3,672.80	$11,445.42