Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $474.97 / $2,900.00 / $10,686.00	Facility		$474.97	$2,900.00	$10,686.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $302.88 / $387.96 / $551.97	Facility	54	$302.88	$387.96	$551.97
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 $565.49 / $1,716.00 / $6,213.00	Facility		$565.49	$1,716.00	$6,213.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $691.75 / $691.75 / $691.75	Facility		$691.75	$691.75	$691.75
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $484.22 / $484.22 / $484.22	Facility	54	$484.22	$484.22	$484.22
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $250.00 / $445.30 / $1,100.32	Facility		$250.00	$445.30	$1,100.32
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $421.26 / $421.26 / $421.26	Facility		$421.26	$421.26	$421.26
Excellus BCBS Facility/Professional Facility Modifier 54 Low / Median / High Price $332.79 / $332.79 / $332.79	Facility	54	$332.79	$332.79	$332.79
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $691.75	Facility		$555.00	$597.00	$691.75
MVP Health Care Facility/Professional Facility Modifier 54 Low / Median / High Price $484.22 / $484.22 / $484.22	Facility	54	$484.22	$484.22	$484.22
United Facility/Professional Facility Modifier Low / Median / High Price $1,348.00 / $3,496.00 / $6,201.00	Facility		$1,348.00	$3,496.00	$6,201.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $493.14 / $493.14 / $1,729.25	Facility		$493.14	$493.14	$1,729.25
Univera Facility/Professional Facility Modifier 54 Low / Median / High Price $332.79 / $389.58 / $389.58	Facility	54	$332.79	$389.58	$389.58