Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,944.24 / $5,250.00 / $11,996.00	Facility		$1,944.24	$5,250.00	$11,996.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,749.00 / $9,877.00 / $16,490.00	Facility		$4,749.00	$9,877.00	$16,490.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,396.07 / $2,396.07 / $13,477.50	Facility		$2,396.07	$2,396.07	$13,477.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,963.31 / $1,963.31 / $1,963.31	Facility		$1,963.31	$1,963.31	$1,963.31
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $194.61 / $194.61 / $194.61	Facility	AS	$194.61	$194.61	$194.61
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $3,332.28 / $15,064.00	Facility		$332.00	$3,332.28	$15,064.00
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,586.80 / $1,586.80 / $1,586.80	Facility		$1,586.80	$1,586.80	$1,586.80
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 $194.61 / $194.61 / $194.61	Facility	AS	$194.61	$194.61	$194.61
United Facility/Professional Facility Modifier Low / Median / High Price $2,337.00 / $6,587.00 / $16,622.00	Facility		$2,337.00	$6,587.00	$16,622.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,971.10 / $1,971.10 / $7,107.37	Facility		$1,971.10	$1,971.10	$7,107.37