Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $682.68 / $4,392.00 / $10,170.00	Facility		$682.68	$4,392.00	$10,170.00
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 $726.74 / $1,990.00 / $8,917.50	Facility		$726.74	$1,990.00	$8,917.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $578.69 / $578.69 / $578.69	Facility		$578.69	$578.69	$578.69
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $57.75 / $57.75 / $57.75	Facility	AS	$57.75	$57.75	$57.75
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $864.32 / $1,465.60	Facility		$332.00	$864.32	$1,465.60
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $480.18 / $480.18 / $480.18	Facility		$480.18	$480.18	$480.18
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $578.69 / $597.00	Facility		$555.00	$578.69	$597.00
MVP Health Care Facility/Professional Facility Modifier AS Low / Median / High Price $57.75 / $57.75 / $57.75	Facility	AS	$57.75	$57.75	$57.75
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 $598.10 / $598.10 / $2,277.40	Facility		$598.10	$598.10	$2,277.40