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 $823.99 / $1,058.58 / $1,552.26	Facility	52	$823.99	$1,058.58	$1,552.26
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 $2,485.41 / $2,485.41 / $37,499.62	Facility		$2,485.41	$2,485.41	$37,499.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,765.00 / $2,001.71 / $7,227.90	Facility		$1,765.00	$2,001.71	$7,227.90
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $1,570.62 / $1,570.62 / $1,570.62	Facility	52	$1,570.62	$1,570.62	$1,570.62
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $196.33 / $196.33 / $196.33	Facility	AS	$196.33	$196.33	$196.33
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,920.00 / $4,678.02	Facility		$332.00	$1,920.00	$4,678.02
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,624.20 / $1,624.20 / $1,624.20	Facility		$1,624.20	$1,624.20	$1,624.20
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $2,001.71 / $7,227.90	Facility		$597.00	$2,001.71	$7,227.90
MVP Health Care Facility/Professional Facility Modifier 52 Low / Median / High Price $1,570.62 / $1,570.62 / $1,570.62	Facility	52	$1,570.62	$1,570.62	$1,570.62
MVP Health Care Facility/Professional Facility Modifier AS Low / Median / High Price $196.33 / $196.33 / $196.33	Facility	AS	$196.33	$196.33	$196.33
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 $2,080.21 / $2,080.21 / $5,267.67	Facility		$2,080.21	$2,080.21	$5,267.67