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 $774.40 / $992.00 / $1,453.70	Facility	52	$774.40	$992.00	$1,453.70
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 $2,338.77 / $2,338.77 / $37,499.62	Facility		$2,338.77	$2,338.77	$37,499.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,765.00 / $1,874.42 / $7,227.90	Facility		$1,765.00	$1,874.42	$7,227.90
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $1,471.60 / $1,471.60 / $1,471.60	Facility	52	$1,471.60	$1,471.60	$1,471.60
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $183.95 / $183.95 / $183.95	Facility	AS	$183.95	$183.95	$183.95
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,940.00 / $4,385.39	Facility		$332.00	$1,940.00	$4,385.39
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,519.85 / $1,519.85 / $1,519.85	Facility		$1,519.85	$1,519.85	$1,519.85
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $1,874.42 / $7,227.90	Facility		$597.00	$1,874.42	$7,227.90
MVP Health Care Facility/Professional Facility Modifier 52 Low / Median / High Price $1,471.60 / $1,471.60 / $1,471.60	Facility	52	$1,471.60	$1,471.60	$1,471.60
MVP Health Care Facility/Professional Facility Modifier AS Low / Median / High Price $183.95 / $183.95 / $183.95	Facility	AS	$183.95	$183.95	$183.95
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 $1,948.14 / $1,948.14 / $5,687.20	Facility		$1,948.14	$1,948.14	$5,687.20