Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $239.00 / $3,490.00 / $10,965.00	Facility		$239.00	$3,490.00	$10,965.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,070.00 / $6,992.00 / $12,173.00	Facility		$4,070.00	$6,992.00	$12,173.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $264.81 / $264.81 / $10,957.50	Facility		$264.81	$264.81	$10,957.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $214.31 / $214.31 / $13,296.25	Facility		$214.31	$214.31	$13,296.25
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $20.84 / $20.84 / $20.84	Facility	AS	$20.84	$20.84	$20.84
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $198.49 / $289.22 / $610.00	Facility		$198.49	$289.22	$610.00
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $171.88 / $171.88 / $1,040.38	Facility		$171.88	$171.88	$1,040.38
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $214.31 / $555.00 / $13,296.25	Facility		$214.31	$555.00	$13,296.25
MVP Health Care Facility/Professional Facility Modifier AS Low / Median / High Price $20.84 / $20.84 / $20.84	Facility	AS	$20.84	$20.84	$20.84
United Facility/Professional Facility Modifier Low / Median / High Price $671.00 / $2,651.00 / $4,840.00	Facility		$671.00	$2,651.00	$4,840.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $220.13 / $220.13 / $662.95	Facility		$220.13	$220.13	$662.95