Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $395.39 / $3,457.00 / $8,442.00	Facility		$395.39	$3,457.00	$8,442.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $150.63 / $174.03 / $255.40	Facility	52	$150.63	$174.03	$255.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,070.00 / $6,992.00 / $12,173.00	Facility		$4,070.00	$6,992.00	$12,173.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $408.29 / $408.29 / $4,050.00	Facility		$408.29	$408.29	$4,050.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $325.48 / $325.48 / $6,511.02	Facility		$325.48	$325.48	$6,511.02
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $254.41 / $254.41 / $254.41	Facility	52	$254.41	$254.41	$254.41
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $298.67 / $334.37 / $726.95	Facility		$298.67	$334.37	$726.95
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $266.37 / $266.37 / $639.45	Facility		$266.37	$266.37	$639.45
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $325.48 / $597.00 / $8,498.00	Facility		$325.48	$597.00	$8,498.00
MVP Health Care Facility/Professional Facility Modifier 52 Low / Median / High Price $254.41 / $254.41 / $254.41	Facility	52	$254.41	$254.41	$254.41
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 $416.19 / $416.19 / $891.72	Facility		$416.19	$416.19	$891.72