Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $645.00 / $3,599.00 / $10,170.00	Facility		$645.00	$3,599.00	$10,170.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,574.00 / $8,170.00 / $16,083.00	Facility		$4,574.00	$8,170.00	$16,083.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $689.95 / $2,390.00 / $37,499.62	Facility		$689.95	$2,390.00	$37,499.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $550.42 / $550.42 / $14,648.00	Facility		$550.42	$550.42	$14,648.00
Cigna Facility/Professional Facility Modifier 62 Low / Median / High Price $337.64 / $337.64 / $337.64	Facility	62	$337.64	$337.64	$337.64
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $54.02 / $54.02 / $54.02	Facility	AS	$54.02	$54.02	$54.02
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $569.79 / $1,325.86	Facility		$332.00	$569.79	$1,325.86
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $442.11 / $442.11 / $442.11	Facility		$442.11	$442.11	$442.11
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $550.42 / $555.00 / $37,776.00	Facility		$550.42	$555.00	$37,776.00
MVP Health Care Facility/Professional Facility Modifier 62 Low / Median / High Price $337.64 / $337.64 / $337.64	Facility	62	$337.64	$337.64	$337.64
MVP Health Care Facility/Professional Facility Modifier AS Low / Median / High Price $54.02 / $54.02 / $54.02	Facility	AS	$54.02	$54.02	$54.02
United Facility/Professional Facility Modifier Low / Median / High Price $964.00 / $2,826.00 / $4,851.00	Facility		$964.00	$2,826.00	$4,851.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $796.60 / $796.60 / $1,466.89	Facility		$796.60	$796.60	$1,466.89