Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,913.46 / $4,648.00 / $10,686.00	Facility		$1,913.46	$4,648.00	$10,686.00
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $382.69 / $449.97 / $623.21	Facility	53	$382.69	$449.97	$623.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,644.00 / $5,434.00 / $12,503.00	Facility		$2,644.00	$5,434.00	$12,503.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,506.98 / $2,506.98 / $37,499.62	Facility		$2,506.98	$2,506.98	$37,499.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,020.20 / $2,020.20 / $7,227.90	Facility		$2,020.20	$2,020.20	$7,227.90
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $394.00 / $394.00 / $394.00	Facility	53	$394.00	$394.00	$394.00
Cigna Facility/Professional Facility Modifier 62 Low / Median / High Price $1,231.24 / $1,231.24 / $1,231.24	Facility	62	$1,231.24	$1,231.24	$1,231.24
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $2,379.00 / $10,347.74	Facility		$332.00	$2,379.00	$10,347.74
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $2,020.20 / $74,999.25	Facility		$555.00	$2,020.20	$74,999.25
MVP Health Care Facility/Professional Facility Modifier 53 Low / Median / High Price $394.00 / $394.00 / $394.00	Facility	53	$394.00	$394.00	$394.00
MVP Health Care Facility/Professional Facility Modifier 62 Low / Median / High Price $1,231.24 / $1,231.24 / $1,231.24	Facility	62	$1,231.24	$1,231.24	$1,231.24
United Facility/Professional Facility Modifier Low / Median / High Price $1,749.00 / $4,194.00 / $9,300.00	Facility		$1,749.00	$4,194.00	$9,300.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,221.58 / $2,221.58 / $3,750.16	Facility		$2,221.58	$2,221.58	$3,750.16