Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $261.07 / $3,285.00 / $9,661.00	Facility		$261.07	$3,285.00	$9,661.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $103.82 / $120.48 / $178.52	Facility	52	$103.82	$120.48	$178.52
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $41.53 / $48.19 / $71.41	Facility	53	$41.53	$48.19	$71.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,373.00 / $4,085.00 / $8,281.00	Facility		$2,373.00	$4,085.00	$8,281.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $281.39 / $1,716.00 / $6,213.00	Facility		$281.39	$1,716.00	$6,213.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $225.67 / $225.67 / $4,612.43	Facility		$225.67	$225.67	$4,612.43
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $176.57 / $176.57 / $176.57	Facility	52	$176.57	$176.57	$176.57
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $44.14 / $44.14 / $44.14	Facility	53	$44.14	$44.14	$44.14
Cigna Facility/Professional Facility Modifier 62 Low / Median / High Price $137.94 / $137.94 / $137.94	Facility	62	$137.94	$137.94	$137.94
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $22.07 / $22.07 / $22.07	Facility	AS	$22.07	$22.07	$22.07
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $231.00 / $319.00 / $610.00	Facility		$231.00	$319.00	$610.00
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $184.35 / $184.35 / $639.45	Facility		$184.35	$184.35	$639.45
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,977.46 / $3,629.00 / $4,767.91	Facility		$1,977.46	$3,629.00	$4,767.91
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $225.67 / $1,409.00 / $5,855.00	Facility		$225.67	$1,409.00	$5,855.00
MVP Health Care Facility/Professional Facility Modifier 52 Low / Median / High Price $176.57 / $176.57 / $176.57	Facility	52	$176.57	$176.57	$176.57
MVP Health Care Facility/Professional Facility Modifier 53 Low / Median / High Price $44.14 / $44.14 / $44.14	Facility	53	$44.14	$44.14	$44.14
MVP Health Care Facility/Professional Facility Modifier 62 Low / Median / High Price $137.94 / $137.94 / $137.94	Facility	62	$137.94	$137.94	$137.94
MVP Health Care Facility/Professional Facility Modifier AS Low / Median / High Price $22.07 / $22.07 / $22.07	Facility	AS	$22.07	$22.07	$22.07
United Facility/Professional Facility Modifier Low / Median / High Price $1,269.00 / $3,612.00 / $8,133.00	Facility		$1,269.00	$3,612.00	$8,133.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $236.35 / $236.35 / $995.73	Facility		$236.35	$236.35	$995.73