Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,837.00 / $5,164.00 / $11,396.00	Facility		$1,837.00	$5,164.00	$11,396.00
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 $2,875.13 / $2,875.13 / $37,499.62	Facility		$2,875.13	$2,875.13	$37,499.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,375.41 / $2,375.41 / $2,375.41	Facility		$2,375.41	$2,375.41	$2,375.41
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $235.29 / $235.29 / $235.29	Facility	AS	$235.29	$235.29	$235.29
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $4,018.52 / $15,064.00	Facility		$332.00	$4,018.52	$15,064.00
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,913.58 / $1,913.58 / $1,913.58	Facility		$1,913.58	$1,913.58	$1,913.58
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 $235.29 / $235.29 / $235.29	Facility	AS	$235.29	$235.29	$235.29
United Facility/Professional Facility Modifier Low / Median / High Price $1,749.00 / $4,194.00 / $9,202.00	Facility		$1,749.00	$4,194.00	$9,202.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,374.86 / $2,374.86 / $8,548.32	Facility		$2,374.86	$2,374.86	$8,548.32