Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $417.76 / $3,100.00 / $10,170.00	Facility		$417.76	$3,100.00	$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 $495.32 / $495.32 / $37,499.62	Facility		$495.32	$495.32	$37,499.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $401.09 / $401.09 / $7,227.90	Facility		$401.09	$401.09	$7,227.90
Cigna Facility/Professional Facility Modifier 62 Low / Median / High Price $243.96 / $243.96 / $243.96	Facility	62	$243.96	$243.96	$243.96
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $39.03 / $39.03 / $39.03	Facility	AS	$39.03	$39.03	$39.03
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $415.28 / $927.97	Facility		$332.00	$415.28	$927.97
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $322.48 / $322.48 / $322.48	Facility		$322.48	$322.48	$322.48
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $401.09 / $555.00 / $7,227.90	Facility		$401.09	$555.00	$7,227.90
MVP Health Care Facility/Professional Facility Modifier 62 Low / Median / High Price $243.96 / $243.96 / $243.96	Facility	62	$243.96	$243.96	$243.96
MVP Health Care Facility/Professional Facility Modifier AS Low / Median / High Price $39.03 / $39.03 / $39.03	Facility	AS	$39.03	$39.03	$39.03
United Facility/Professional Facility Modifier Low / Median / High Price $2,160.00 / $5,547.00 / $13,746.00	Facility		$2,160.00	$5,547.00	$13,746.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $413.68 / $413.68 / $1,494.76	Facility		$413.68	$413.68	$1,494.76