Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $963.89 / $3,938.00 / $8,442.00	Facility		$963.89	$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 $1,106.18 / $1,716.00 / $6,213.00	Facility		$1,106.18	$1,716.00	$6,213.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $910.85 / $910.85 / $910.85	Facility		$910.85	$910.85	$910.85
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $90.56 / $90.56 / $90.56	Facility	AS	$90.56	$90.56	$90.56
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,220.00 / $2,157.50	Facility		$332.00	$1,220.00	$2,157.50
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $749.44 / $749.44 / $749.44	Facility		$749.44	$749.44	$749.44
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $910.85	Facility		$555.00	$597.00	$910.85
MVP Health Care Facility/Professional Facility Modifier AS Low / Median / High Price $90.56 / $90.56 / $90.56	Facility	AS	$90.56	$90.56	$90.56
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 $931.17 / $931.17 / $3,282.75	Facility		$931.17	$931.17	$3,282.75