Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,798.93 / $5,824.00 / $15,730.00	Facility		$1,798.93	$5,824.00	$15,730.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $761.35 / $942.33 / $1,300.67	Facility	52	$761.35	$942.33	$1,300.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,793.00 / $11,471.00 / $30,709.00	Facility		$4,793.00	$11,471.00	$30,709.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,068.73 / $2,068.73 / $37,499.62	Facility		$2,068.73	$2,068.73	$37,499.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,659.29 / $1,659.29 / $43,302.00	Facility		$1,659.29	$1,659.29	$43,302.00
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $1,312.03 / $1,312.03 / $1,312.03	Facility	52	$1,312.03	$1,312.03	$1,312.03
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $164.00 / $164.00 / $164.00	Facility	AS	$164.00	$164.00	$164.00
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $2,125.00 / $3,889.01	Facility		$332.00	$2,125.00	$3,889.01
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,366.05 / $1,366.05 / $1,366.05	Facility		$1,366.05	$1,366.05	$1,366.05
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,659.29 / $54,793.00	Facility		$555.00	$1,659.29	$54,793.00
MVP Health Care Facility/Professional Facility Modifier 52 Low / Median / High Price $1,312.03 / $1,312.03 / $1,312.03	Facility	52	$1,312.03	$1,312.03	$1,312.03
MVP Health Care Facility/Professional Facility Modifier AS Low / Median / High Price $164.00 / $164.00 / $164.00	Facility	AS	$164.00	$164.00	$164.00
United Facility/Professional Facility Modifier Low / Median / High Price $2,673.00 / $11,223.00 / $41,432.00	Facility		$2,673.00	$11,223.00	$41,432.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,743.05 / $1,743.05 / $6,790.68	Facility		$1,743.05	$1,743.05	$6,790.68