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 $865.09 / $1,112.59 / $1,631.30	Facility	52	$865.09	$1,112.59	$1,631.30
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 $2,619.65 / $2,619.65 / $37,499.62	Facility		$2,619.65	$2,619.65	$37,499.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,765.00 / $2,094.52 / $7,227.90	Facility		$1,765.00	$2,094.52	$7,227.90
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $1,648.76 / $1,648.76 / $1,648.76	Facility	52	$1,648.76	$1,648.76	$1,648.76
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $206.10 / $206.10 / $206.10	Facility	AS	$206.10	$206.10	$206.10
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $2,000.00 / $4,900.43	Facility		$332.00	$2,000.00	$4,900.43
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,707.28 / $1,707.28 / $1,707.28	Facility		$1,707.28	$1,707.28	$1,707.28
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $2,094.52 / $7,227.90	Facility		$597.00	$2,094.52	$7,227.90
MVP Health Care Facility/Professional Facility Modifier 52 Low / Median / High Price $1,648.76 / $1,648.76 / $1,648.76	Facility	52	$1,648.76	$1,648.76	$1,648.76
MVP Health Care Facility/Professional Facility Modifier AS Low / Median / High Price $206.10 / $206.10 / $206.10	Facility	AS	$206.10	$206.10	$206.10
United Facility/Professional Facility Modifier Low / Median / High Price $1,419.00 / $3,962.00 / $7,222.00	Facility		$1,419.00	$3,962.00	$7,222.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,186.14 / $2,186.14 / $6,041.77	Facility		$2,186.14	$2,186.14	$6,041.77