Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.71 / $3,316.00 / $8,442.00	Facility		$51.71	$3,316.00	$8,442.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $19.39 / $24.38 / $35.38	Facility	52	$19.39	$24.38	$35.38
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $7.76 / $9.75 / $14.15	Facility	53	$7.76	$9.75	$14.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,651.00 / $3,263.00 / $4,636.00	Facility		$1,651.00	$3,263.00	$4,636.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $57.25 / $57.25 / $6,213.00	Facility		$57.25	$57.25	$6,213.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.46 / $45.46 / $563.99	Facility		$45.46	$45.46	$563.99
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $35.19 / $35.19 / $35.19	Facility	52	$35.19	$35.19	$35.19
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $8.80 / $8.80 / $8.80	Facility	53	$8.80	$8.80	$8.80
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $48.31 / $87.21 / $332.00	Facility		$48.31	$87.21	$332.00
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $37.15 / $37.15	Facility		$37.15	$37.15	$37.15
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $45.46 / $45.46 / $597.00	Facility		$45.46	$45.46	$597.00
MVP Health Care Facility/Professional Facility Modifier 52 Low / Median / High Price $35.19 / $35.19 / $35.19	Facility	52	$35.19	$35.19	$35.19
MVP Health Care Facility/Professional Facility Modifier 53 Low / Median / High Price $8.80 / $8.80 / $8.80	Facility	53	$8.80	$8.80	$8.80
United Facility/Professional Facility Modifier Low / Median / High Price $835.00 / $2,411.00 / $4,583.00	Facility		$835.00	$2,411.00	$4,583.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $47.41 / $47.41 / $173.39	Facility		$47.41	$47.41	$173.39