Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $947.27 / $3,783.00 / $9,038.00	Facility		$947.27	$3,783.00	$9,038.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $579.04 / $710.45 / $1,006.66	Facility	54	$579.04	$710.45	$1,006.66
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 $1,069.49 / $1,716.00 / $6,213.00	Facility		$1,069.49	$1,716.00	$6,213.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $852.66 / $852.66 / $852.66	Facility		$852.66	$852.66	$852.66
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $592.41 / $592.41 / $592.41	Facility	54	$592.41	$592.41	$592.41
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $675.00 / $1,997.03	Facility		$332.00	$675.00	$1,997.03
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $701.75 / $701.75 / $701.75	Facility		$701.75	$701.75	$701.75
Excellus BCBS Facility/Professional Facility Modifier 54 Low / Median / High Price $554.38 / $554.38 / $554.38	Facility	54	$554.38	$554.38	$554.38
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $852.66	Facility		$555.00	$597.00	$852.66
MVP Health Care Facility/Professional Facility Modifier 54 Low / Median / High Price $592.41 / $592.41 / $592.41	Facility	54	$592.41	$592.41	$592.41
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 $899.36 / $899.36 / $3,415.47	Facility		$899.36	$899.36	$3,415.47
Univera Facility/Professional Facility Modifier 54 Low / Median / High Price $554.38 / $710.50 / $710.50	Facility	54	$554.38	$710.50	$710.50