Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,131.00 / $4,072.50 / $10,170.00	Facility		$1,131.00	$4,072.50	$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 $1,298.39 / $1,298.39 / $37,499.62	Facility		$1,298.39	$1,298.39	$37,499.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,051.52 / $1,051.52 / $7,227.90	Facility		$1,051.52	$1,051.52	$7,227.90
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $102.94 / $102.94 / $102.94	Facility	AS	$102.94	$102.94	$102.94
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $933.45 / $2,469.94	Facility		$332.00	$933.45	$2,469.94
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $855.32 / $855.32 / $1,522.50	Facility		$855.32	$855.32	$1,522.50
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $1,051.52 / $7,227.90	Facility		$597.00	$1,051.52	$7,227.90
MVP Health Care Facility/Professional Facility Modifier AS Low / Median / High Price $102.94 / $102.94 / $102.94	Facility	AS	$102.94	$102.94	$102.94
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 $1,090.47 / $1,090.47 / $3,052.90	Facility		$1,090.47	$1,090.47	$3,052.90