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 $770.02 / $990.35 / $1,454.24	Facility	52	$770.02	$990.35	$1,454.24
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 $2,320.36 / $2,320.36 / $37,499.62	Facility		$2,320.36	$2,320.36	$37,499.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,765.00 / $1,873.50 / $7,227.90	Facility		$1,765.00	$1,873.50	$7,227.90
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $1,468.02 / $1,468.02 / $1,468.02	Facility	52	$1,468.02	$1,468.02	$1,468.02
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $183.50 / $183.50 / $183.50	Facility	AS	$183.50	$183.50	$183.50
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $2,175.00 / $4,344.05	Facility		$332.00	$2,175.00	$4,344.05
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,521.46 / $1,521.46 / $1,521.46	Facility		$1,521.46	$1,521.46	$1,521.46
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $1,873.50 / $7,227.90	Facility		$597.00	$1,873.50	$7,227.90
MVP Health Care Facility/Professional Facility Modifier 52 Low / Median / High Price $1,468.02 / $1,468.02 / $1,468.02	Facility	52	$1,468.02	$1,468.02	$1,468.02
MVP Health Care Facility/Professional Facility Modifier AS Low / Median / High Price $183.50 / $183.50 / $183.50	Facility	AS	$183.50	$183.50	$183.50
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 $1,948.87 / $1,948.87 / $6,289.98	Facility		$1,948.87	$1,948.87	$6,289.98