Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $288.61 / $3,100.00 / $10,170.00	Facility		$288.61	$3,100.00	$10,170.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $112.30 / $144.43 / $210.50	Facility	52	$112.30	$144.43	$210.50
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 $338.83 / $338.83 / $37,499.62	Facility		$338.83	$338.83	$37,499.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $273.83 / $273.83 / $7,227.90	Facility		$273.83	$273.83	$7,227.90
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $213.26 / $213.26 / $213.26	Facility	52	$213.26	$213.26	$213.26
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $26.66 / $26.66 / $26.66	Facility	AS	$26.66	$26.66	$26.66
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $282.00 / $413.00 / $678.78	Facility		$282.00	$413.00	$678.78
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $220.12 / $220.12 / $220.12	Facility		$220.12	$220.12	$220.12
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $273.83 / $555.00 / $7,227.90	Facility		$273.83	$555.00	$7,227.90
MVP Health Care Facility/Professional Facility Modifier 52 Low / Median / High Price $213.26 / $213.26 / $213.26	Facility	52	$213.26	$213.26	$213.26
MVP Health Care Facility/Professional Facility Modifier AS Low / Median / High Price $26.66 / $26.66 / $26.66	Facility	AS	$26.66	$26.66	$26.66
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 $282.10 / $282.10 / $1,016.42	Facility		$282.10	$282.10	$1,016.42