Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $512.15 / $2,902.00 / $7,307.00	Facility		$512.15	$2,902.00	$7,307.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $196.61 / $256.08 / $380.93	Facility	52	$196.61	$256.08	$380.93
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $294.92 / $384.11 / $571.39	Facility	54	$294.92	$384.11	$571.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $3,373.00 / $4,707.00	Facility		$1,689.00	$3,373.00	$4,707.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $575.23 / $1,254.00 / $4,050.00	Facility		$575.23	$1,254.00	$4,050.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $483.95 / $483.95 / $43,202.00	Facility		$483.95	$483.95	$43,202.00
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $384.75 / $384.75 / $384.75	Facility	52	$384.75	$384.75	$384.75
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $336.66 / $336.66 / $336.66	Facility	54	$336.66	$336.66	$336.66
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $461.07 / $1,141.67	Facility		$332.00	$461.07	$1,141.67
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $400.29 / $400.29 / $400.29	Facility		$400.29	$400.29	$400.29
Excellus BCBS Facility/Professional Facility Modifier 54 Low / Median / High Price $316.23 / $316.23 / $316.23	Facility	54	$316.23	$316.23	$316.23
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $173.26 / $250.05 / $402.12	Facility		$173.26	$250.05	$402.12
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $483.95 / $555.00 / $43,202.00	Facility		$483.95	$555.00	$43,202.00
MVP Health Care Facility/Professional Facility Modifier 52 Low / Median / High Price $384.75 / $384.75 / $384.75	Facility	52	$384.75	$384.75	$384.75
MVP Health Care Facility/Professional Facility Modifier 54 Low / Median / High Price $336.66 / $336.66 / $336.66	Facility	54	$336.66	$336.66	$336.66
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 $510.48 / $510.48 / $1,839.22	Facility		$510.48	$510.48	$1,839.22
Univera Facility/Professional Facility Modifier 54 Low / Median / High Price $316.23 / $403.28 / $403.28	Facility	54	$316.23	$403.28	$403.28