Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $984.42 / $6,385.20 / $24,343.34	Facility		$984.42	$6,385.20	$24,343.34
Aetna Facility/Professional Facility Modifier 22 Low / Median / High Price $7,903.79 / $8,359.29 / $8,822.79	Facility	22	$7,903.79	$8,359.29	$8,822.79
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $337.38 / $433.38 / $636.62	Facility	52	$337.38	$433.38	$636.62
Aetna Facility/Professional Facility Modifier 80 Low / Median / High Price $949.21 / $949.21 / $1,107.26	Facility	80	$949.21	$949.21	$1,107.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,527.00 / $7,688.00 / $23,945.00	Facility		$4,527.00	$7,688.00	$23,945.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,012.96 / $3,652.50 / $10,957.50	Facility		$1,012.96	$3,652.50	$10,957.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $818.95 / $24,246.00 / $29,212.00	Facility		$818.95	$24,246.00	$29,212.00
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $645.72 / $645.72 / $645.72	Facility	52	$645.72	$645.72	$645.72
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $80.72 / $80.72 / $80.72	Facility	AS	$80.72	$80.72	$80.72
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $838.00 / $8,640.00	Facility		$332.00	$838.00	$8,640.00
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $668.13 / $668.13 / $1,522.50	Facility		$668.13	$668.13	$1,522.50
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,465.81 / $9,962.83 / $19,794.98	Facility		$3,465.81	$9,962.83	$19,794.98
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $818.95 / $11,205.00 / $29,212.00	Facility		$818.95	$11,205.00	$29,212.00
MVP Health Care Facility/Professional Facility Modifier 52 Low / Median / High Price $645.72 / $645.72 / $645.72	Facility	52	$645.72	$645.72	$645.72
MVP Health Care Facility/Professional Facility Modifier AS Low / Median / High Price $80.72 / $80.72 / $80.72	Facility	AS	$80.72	$80.72	$80.72
United Facility/Professional Facility Modifier Low / Median / High Price $2,264.00 / $6,344.00 / $16,782.00	Facility		$2,264.00	$6,344.00	$16,782.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $853.15 / $853.15 / $2,915.32	Facility		$853.15	$853.15	$2,915.32