Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,819.00 / $5,228.00 / $12,051.00	Facility		$1,819.00	$5,228.00	$12,051.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,760.00 / $10,017.00 / $17,122.00	Facility		$4,760.00	$10,017.00	$17,122.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,377.56 / $2,377.56 / $37,499.62	Facility		$2,377.56	$2,377.56	$37,499.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,928.51 / $1,928.51 / $1,928.51	Facility		$1,928.51	$1,928.51	$1,928.51
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $190.74 / $190.74 / $190.74	Facility	AS	$190.74	$190.74	$190.74
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $3,082.85 / $6,607.89	Facility		$332.00	$3,082.85	$6,607.89
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,567.98 / $1,567.98 / $1,567.98	Facility		$1,567.98	$1,567.98	$1,567.98
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $37,776.00	Facility		$555.00	$597.00	$37,776.00
MVP Health Care Facility/Professional Facility Modifier AS Low / Median / High Price $190.74 / $190.74 / $190.74	Facility	AS	$190.74	$190.74	$190.74
United Facility/Professional Facility Modifier Low / Median / High Price $1,749.00 / $4,194.00 / $9,300.00	Facility		$1,749.00	$4,194.00	$9,300.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,823.87 / $2,823.87 / $5,803.48	Facility		$2,823.87	$2,823.87	$5,803.48