Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $783.04 / $3,938.00 / $8,442.00	Facility		$783.04	$3,938.00	$8,442.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,385.00 / $4,133.00 / $9,074.00	Facility		$2,385.00	$4,133.00	$9,074.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $838.79 / $1,716.00 / $6,213.00	Facility		$838.79	$1,716.00	$6,213.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $675.90 / $675.90 / $675.90	Facility		$675.90	$675.90	$675.90
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $67.33 / $67.33 / $67.33	Facility	AS	$67.33	$67.33	$67.33
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,023.35 / $1,907.20	Facility		$332.00	$1,023.35	$1,907.20
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $559.21 / $559.21 / $559.21	Facility		$559.21	$559.21	$559.21
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $675.90	Facility		$555.00	$597.00	$675.90
MVP Health Care Facility/Professional Facility Modifier AS Low / Median / High Price $67.33 / $67.33 / $67.33	Facility	AS	$67.33	$67.33	$67.33
United Facility/Professional Facility Modifier Low / Median / High Price $2,031.00 / $4,840.00 / $9,416.00	Facility		$2,031.00	$4,840.00	$9,416.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $694.24 / $694.24 / $2,411.87	Facility		$694.24	$694.24	$2,411.87