Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,418.42 / $3,100.00 / $10,170.00	Facility		$1,418.42	$3,100.00	$10,170.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $580.49 / $745.83 / $1,095.64	Facility	52	$580.49	$745.83	$1,095.64
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 $1,745.50 / $1,745.50 / $37,499.62	Facility		$1,745.50	$1,745.50	$37,499.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,411.74 / $1,411.74 / $7,227.90	Facility		$1,411.74	$1,411.74	$7,227.90
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $1,108.61 / $1,108.61 / $1,108.61	Facility	52	$1,108.61	$1,108.61	$1,108.61
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $138.58 / $138.58 / $138.58	Facility	AS	$138.58	$138.58	$138.58
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,520.00 / $3,306.35	Facility		$332.00	$1,520.00	$3,306.35
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,147.98 / $1,147.98 / $1,147.98	Facility		$1,147.98	$1,147.98	$1,147.98
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $1,411.74 / $7,227.90	Facility		$597.00	$1,411.74	$7,227.90
MVP Health Care Facility/Professional Facility Modifier 52 Low / Median / High Price $1,108.61 / $1,108.61 / $1,108.61	Facility	52	$1,108.61	$1,108.61	$1,108.61
MVP Health Care Facility/Professional Facility Modifier AS Low / Median / High Price $138.58 / $138.58 / $138.58	Facility	AS	$138.58	$138.58	$138.58
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 $1,468.28 / $1,468.28 / $4,457.09	Facility		$1,468.28	$1,468.28	$4,457.09