Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $438.74 / $3,326.00 / $9,661.00	Facility		$438.74	$3,326.00	$9,661.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $164.91 / $193.11 / $284.47	Facility	52	$164.91	$193.11	$284.47
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $65.95 / $77.23 / $113.79	Facility	53	$65.95	$77.23	$113.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,248.00 / $4,838.00 / $11,446.00	Facility		$3,248.00	$4,838.00	$11,446.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $454.62 / $1,716.00 / $6,213.00	Facility		$454.62	$1,716.00	$6,213.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $362.56 / $362.56 / $4,612.43	Facility		$362.56	$362.56	$4,612.43
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $283.33 / $283.33 / $283.33	Facility	52	$283.33	$283.33	$283.33
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $70.84 / $70.84 / $70.84	Facility	53	$70.84	$70.84	$70.84
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $373.91 / $808.79	Facility		$332.00	$373.91	$808.79
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $296.73 / $296.73 / $639.45	Facility		$296.73	$296.73	$639.45
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,464.00 / $1,464.00 / $5,020.60	Facility		$1,464.00	$1,464.00	$5,020.60
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $362.56 / $597.00 / $5,855.00	Facility		$362.56	$597.00	$5,855.00
MVP Health Care Facility/Professional Facility Modifier 52 Low / Median / High Price $283.33 / $283.33 / $283.33	Facility	52	$283.33	$283.33	$283.33
MVP Health Care Facility/Professional Facility Modifier 53 Low / Median / High Price $70.84 / $70.84 / $70.84	Facility	53	$70.84	$70.84	$70.84
United Facility/Professional Facility Modifier Low / Median / High Price $1,693.00 / $3,972.00 / $9,202.00	Facility		$1,693.00	$3,972.00	$9,202.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $381.22 / $381.22 / $1,361.59	Facility		$381.22	$381.22	$1,361.59