Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,526.16 / $3,100.00 / $10,170.00	Facility		$1,526.16	$3,100.00	$10,170.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $627.88 / $805.46 / $1,183.64	Facility	52	$627.88	$805.46	$1,183.64
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 $1,888.71 / $1,888.71 / $37,499.62	Facility		$1,888.71	$1,888.71	$37,499.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,526.26 / $1,526.26 / $7,227.90	Facility		$1,526.26	$1,526.26	$7,227.90
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $1,198.39 / $1,198.39 / $1,198.39	Facility	52	$1,198.39	$1,198.39	$1,198.39
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $149.80 / $149.80 / $149.80	Facility	AS	$149.80	$149.80	$149.80
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,890.00 / $3,577.37	Facility		$332.00	$1,890.00	$3,577.37
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,239.81 / $1,239.81 / $1,239.81	Facility		$1,239.81	$1,239.81	$1,239.81
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $1,526.26 / $7,227.90	Facility		$597.00	$1,526.26	$7,227.90
MVP Health Care Facility/Professional Facility Modifier 52 Low / Median / High Price $1,198.39 / $1,198.39 / $1,198.39	Facility	52	$1,198.39	$1,198.39	$1,198.39
MVP Health Care Facility/Professional Facility Modifier AS Low / Median / High Price $149.80 / $149.80 / $149.80	Facility	AS	$149.80	$149.80	$149.80
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 $1,586.23 / $1,586.23 / $5,019.37	Facility		$1,586.23	$1,586.23	$5,019.37