Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $5,128.61 / $11,748.98	Facility		$1,621.81	$5,128.61	$11,748.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $5,888.44 / $12,302.69	Facility		$3,388.44	$5,888.44	$12,302.69
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $1,737.80 / $37,153.52	Facility		$1,737.80	$1,737.80	$37,153.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $2,089.30 / $50,118.72	Facility		$34.67	$2,089.30	$50,118.72
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $2,511.89 / $2,511.89 / $2,511.89	Facility	22	$2,511.89	$2,511.89	$2,511.89
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $1,445.44 / $1,445.44 / $1,445.44	Facility	54	$1,445.44	$1,445.44	$1,445.44
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $208.93 / $208.93 / $208.93	Facility	AS	$208.93	$208.93	$208.93
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,995.26 / $4,365.16	Facility		$1,348.96	$1,995.26	$4,365.16
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,148.15 / $1,148.15	Facility		$1,148.15	$1,148.15	$1,148.15
Excellus BCBS Facility/Professional Facility Modifier 54 Low / Median / High Price $912.01 / $912.01 / $912.01	Facility	54	$912.01	$912.01	$912.01
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $50,118.72 / $75,857.76	Facility		$1,479.11	$50,118.72	$75,857.76
United Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $5,888.44 / $14,791.08	Facility		$2,398.83	$5,888.44	$14,791.08
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,479.11 / $6,606.93	Facility		$1,000.00	$1,479.11	$6,606.93
Univera Facility/Professional Facility Modifier 54 Low / Median / High Price $794.33 / $794.33 / $1,148.15	Facility	54	$794.33	$794.33	$1,148.15