Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $216.41 / $4,392.00 / $11,396.00	Facility		$216.41	$4,392.00	$11,396.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,381.00 / $4,120.00 / $8,640.00	Facility		$2,381.00	$4,120.00	$8,640.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $248.43 / $248.43 / $37,499.62	Facility		$248.43	$248.43	$37,499.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $199.25 / $199.25 / $199.25	Facility		$199.25	$199.25	$199.25
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $19.50 / $19.50 / $19.50	Facility	AS	$19.50	$19.50	$19.50
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $208.33 / $336.63 / $704.00	Facility		$208.33	$336.63	$704.00
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $160.30 / $160.30 / $160.30	Facility		$160.30	$160.30	$160.30
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $199.25 / $555.00 / $37,776.00	Facility		$199.25	$555.00	$37,776.00
MVP Health Care Facility/Professional Facility Modifier AS Low / Median / High Price $19.50 / $19.50 / $19.50	Facility	AS	$19.50	$19.50	$19.50
United Facility/Professional Facility Modifier Low / Median / High Price $1,479.00 / $3,988.00 / $8,515.00	Facility		$1,479.00	$3,988.00	$8,515.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $289.66 / $289.66 / $874.80	Facility		$289.66	$289.66	$874.80