Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $607.25 / $3,419.00 / $8,134.00	Facility		$607.25	$3,419.00	$8,134.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $369.67 / $455.44 / $670.64	Facility	54	$369.67	$455.44	$670.64
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 $702.20 / $1,254.00 / $4,050.00	Facility		$702.20	$1,254.00	$4,050.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $566.54 / $566.54 / $566.54	Facility		$566.54	$566.54	$566.54
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $394.33 / $394.33 / $394.33	Facility	54	$394.33	$394.33	$394.33
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $150.00 / $332.00 / $1,331.33	Facility		$150.00	$332.00	$1,331.33
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $469.40 / $469.40 / $469.40	Facility		$469.40	$469.40	$469.40
Excellus BCBS Facility/Professional Facility Modifier 54 Low / Median / High Price $370.82 / $370.82 / $370.82	Facility	54	$370.82	$370.82	$370.82
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $566.54 / $597.00	Facility		$555.00	$566.54	$597.00
MVP Health Care Facility/Professional Facility Modifier 54 Low / Median / High Price $394.33 / $394.33 / $394.33	Facility	54	$394.33	$394.33	$394.33
United Facility/Professional Facility Modifier Low / Median / High Price $1,768.00 / $3,961.00 / $8,312.00	Facility		$1,768.00	$3,961.00	$8,312.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $599.16 / $599.16 / $2,158.52	Facility		$599.16	$599.16	$2,158.52
Univera Facility/Professional Facility Modifier 54 Low / Median / High Price $370.82 / $473.34 / $473.34	Facility	54	$370.82	$473.34	$473.34