Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $356.12 / $3,499.00 / $8,442.00	Facility		$356.12	$3,499.00	$8,442.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $131.25 / $158.81 / $221.64	Facility	52	$131.25	$158.81	$221.64
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $52.50 / $63.52 / $88.66	Facility	53	$52.50	$63.52	$88.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,373.00 / $4,085.00 / $8,281.00	Facility		$2,373.00	$4,085.00	$8,281.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $356.42 / $356.42 / $6,213.00	Facility		$356.42	$356.42	$6,213.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $283.45 / $283.45 / $6,511.02	Facility		$283.45	$283.45	$6,511.02
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $221.01 / $221.01 / $221.01	Facility	52	$221.01	$221.01	$221.01
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $55.25 / $55.25 / $55.25	Facility	53	$55.25	$55.25	$55.25
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $259.52 / $332.00 / $633.11	Facility		$259.52	$332.00	$633.11
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $231.28 / $231.28 / $639.45	Facility		$231.28	$231.28	$639.45
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $283.45 / $597.00 / $6,511.02	Facility		$283.45	$597.00	$6,511.02
MVP Health Care Facility/Professional Facility Modifier 52 Low / Median / High Price $221.01 / $221.01 / $221.01	Facility	52	$221.01	$221.01	$221.01
MVP Health Care Facility/Professional Facility Modifier 53 Low / Median / High Price $55.25 / $55.25 / $55.25	Facility	53	$55.25	$55.25	$55.25
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 $361.18 / $361.18 / $639.45	Facility		$361.18	$361.18	$639.45