Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,014.20 / $6,792.00 / $19,485.00	Facility		$1,014.20	$6,792.00	$19,485.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $418.75 / $485.79 / $673.67	Facility	52	$418.75	$485.79	$673.67
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $167.50 / $194.32 / $269.47	Facility	53	$167.50	$194.32	$269.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,079.00 / $7,264.00 / $12,538.00	Facility		$4,079.00	$7,264.00	$12,538.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,101.04 / $1,101.04 / $37,499.62	Facility		$1,101.04	$1,101.04	$37,499.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $873.50 / $873.50 / $7,227.90	Facility		$873.50	$873.50	$7,227.90
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $681.22 / $681.22 / $681.22	Facility	52	$681.22	$681.22	$681.22
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $170.30 / $170.30 / $170.30	Facility	53	$170.30	$170.30	$170.30
Cigna Facility/Professional Facility Modifier 62 Low / Median / High Price $532.20 / $532.20 / $532.20	Facility	62	$532.20	$532.20	$532.20
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $984.33 / $46,576.00	Facility		$319.00	$984.33	$46,576.00
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $7,227.90 / $74,999.25	Facility		$555.00	$7,227.90	$74,999.25
MVP Health Care Facility/Professional Facility Modifier 52 Low / Median / High Price $681.22 / $681.22 / $681.22	Facility	52	$681.22	$681.22	$681.22
MVP Health Care Facility/Professional Facility Modifier 53 Low / Median / High Price $170.30 / $170.30 / $170.30	Facility	53	$170.30	$170.30	$170.30
MVP Health Care Facility/Professional Facility Modifier 62 Low / Median / High Price $532.20 / $532.20 / $532.20	Facility	62	$532.20	$532.20	$532.20
United Facility/Professional Facility Modifier Low / Median / High Price $2,337.00 / $5,963.00 / $12,742.00	Facility		$2,337.00	$5,963.00	$12,742.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $960.58 / $960.58 / $1,408.87	Facility		$960.58	$960.58	$1,408.87