Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,452.94 / $3,419.00 / $10,170.00	Facility		$1,452.94	$3,419.00	$10,170.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $571.87 / $733.06 / $1,077.02	Facility	52	$571.87	$733.06	$1,077.02
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $228.75 / $293.22 / $430.81	Facility	53	$228.75	$293.22	$430.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,283.00 / $4,975.00 / $11,448.00	Facility		$3,283.00	$4,975.00	$11,448.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,719.44 / $1,719.44 / $37,499.62	Facility		$1,719.44	$1,719.44	$37,499.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,391.39 / $1,391.39 / $7,227.90	Facility		$1,391.39	$1,391.39	$7,227.90
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $1,091.32 / $1,091.32 / $1,091.32	Facility	52	$1,091.32	$1,091.32	$1,091.32
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $272.83 / $272.83 / $272.83	Facility	53	$272.83	$272.83	$272.83
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $136.41 / $136.41 / $136.41	Facility	AS	$136.41	$136.41	$136.41
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,648.00 / $3,268.64	Facility		$332.00	$1,648.00	$3,268.64
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,128.82 / $1,128.82 / $1,128.82	Facility		$1,128.82	$1,128.82	$1,128.82
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $1,391.39 / $7,227.90	Facility		$597.00	$1,391.39	$7,227.90
MVP Health Care Facility/Professional Facility Modifier 52 Low / Median / High Price $1,091.32 / $1,091.32 / $1,091.32	Facility	52	$1,091.32	$1,091.32	$1,091.32
MVP Health Care Facility/Professional Facility Modifier 53 Low / Median / High Price $272.83 / $272.83 / $272.83	Facility	53	$272.83	$272.83	$272.83
MVP Health Care Facility/Professional Facility Modifier AS Low / Median / High Price $136.41 / $136.41 / $136.41	Facility	AS	$136.41	$136.41	$136.41
United Facility/Professional Facility Modifier Low / Median / High Price $996.00 / $4,194.00 / $9,020.04	Facility		$996.00	$4,194.00	$9,020.04
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,443.33 / $1,443.33 / $4,079.04	Facility		$1,443.33	$1,443.33	$4,079.04