Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,819.00 / $3,599.00 / $10,170.00	Facility		$1,819.00	$3,599.00	$10,170.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $849.22 / $1,087.55 / $1,595.73	Facility	52	$849.22	$1,087.55	$1,595.73
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 $2,564.50 / $2,564.50 / $37,499.62	Facility		$2,564.50	$2,564.50	$37,499.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,765.00 / $2,054.82 / $7,227.90	Facility		$1,765.00	$2,054.82	$7,227.90
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $1,615.65 / $1,615.65 / $1,615.65	Facility	52	$1,615.65	$1,615.65	$1,615.65
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $201.96 / $201.96 / $201.96	Facility	AS	$201.96	$201.96	$201.96
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $2,045.00 / $4,804.43	Facility		$332.00	$2,045.00	$4,804.43
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,666.62 / $1,666.62 / $1,666.62	Facility		$1,666.62	$1,666.62	$1,666.62
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $2,054.82 / $7,227.90	Facility		$597.00	$2,054.82	$7,227.90
MVP Health Care Facility/Professional Facility Modifier 52 Low / Median / High Price $1,615.65 / $1,615.65 / $1,615.65	Facility	52	$1,615.65	$1,615.65	$1,615.65
MVP Health Care Facility/Professional Facility Modifier AS Low / Median / High Price $201.96 / $201.96 / $201.96	Facility	AS	$201.96	$201.96	$201.96
United Facility/Professional Facility Modifier Low / Median / High Price $1,331.00 / $4,194.00 / $9,020.04	Facility		$1,331.00	$4,194.00	$9,020.04
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,138.48 / $2,138.48 / $4,965.84	Facility		$2,138.48	$2,138.48	$4,965.84