Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $212.52 / $2,626.00 / $7,028.00	Facility		$212.52	$2,626.00	$7,028.00
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $37.97 / $96.64 / $231.82	Facility	53	$37.97	$96.64	$231.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,651.00 / $3,263.00 / $4,636.00	Facility		$1,651.00	$3,263.00	$4,636.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $109.51 / $1,076.00 / $3,228.00	Facility		$109.51	$1,076.00	$3,228.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $263.52 / $263.52 / $3,479.91	Facility		$263.52	$263.52	$3,479.91
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $52.70 / $52.70 / $52.70	Facility	53	$52.70	$52.70	$52.70
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $187.56 / $290.00 / $589.97	Facility		$187.56	$290.00	$589.97
Emblem Health Facility/Professional Facility Modifier 53 Low / Median / High Price $89.33 / $200.99 / $332.00	Facility	53	$89.33	$200.99	$332.00
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $291.32 / $291.32 / $482.13	Facility		$291.32	$291.32	$482.13
Excellus BCBS Facility/Professional Facility Modifier 53 Low / Median / High Price $145.66 / $145.66 / $145.66	Facility	53	$145.66	$145.66	$145.66
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $599.42 / $1,339.80 / $2,693.10	Facility		$599.42	$1,339.80	$2,693.10
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $263.52 / $597.00 / $5,855.00	Facility		$263.52	$597.00	$5,855.00
MVP Health Care Facility/Professional Facility Modifier 53 Low / Median / High Price $52.70 / $52.70 / $52.70	Facility	53	$52.70	$52.70	$52.70
United Facility/Professional Facility Modifier Low / Median / High Price $1,269.00 / $3,612.00 / $8,133.00	Facility		$1,269.00	$3,612.00	$8,133.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $184.50 / $184.50 / $661.27	Facility		$184.50	$184.50	$661.27
Univera Facility/Professional Facility Modifier 53 Low / Median / High Price $92.60 / $92.60 / $145.66	Facility	53	$92.60	$92.60	$145.66