Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,819.00 / $5,630.00 / $11,880.00	Facility		$1,819.00	$5,630.00	$11,880.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,248.00 / $5,196.00 / $11,909.00	Facility		$3,248.00	$5,196.00	$11,909.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,499.78 / $1,499.78 / $10,957.50	Facility		$1,499.78	$1,499.78	$10,957.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,207.14 / $1,207.14 / $1,207.14	Facility		$1,207.14	$1,207.14	$1,207.14
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $119.75 / $119.75 / $119.75	Facility	AS	$119.75	$119.75	$119.75
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,215.00 / $2,837.05	Facility		$332.00	$1,215.00	$2,837.05
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $997.28 / $997.28 / $997.28	Facility		$997.28	$997.28	$997.28
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $1,207.14	Facility		$555.00	$597.00	$1,207.14
MVP Health Care Facility/Professional Facility Modifier AS Low / Median / High Price $119.75 / $119.75 / $119.75	Facility	AS	$119.75	$119.75	$119.75
United Facility/Professional Facility Modifier Low / Median / High Price $2,264.00 / $5,248.00 / $11,200.00	Facility		$2,264.00	$5,248.00	$11,200.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,142.36 / $1,142.36 / $1,142.36	Facility		$1,142.36	$1,142.36	$1,142.36