Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,287.63 / $4,369.00 / $11,080.00	Facility		$1,287.63	$4,369.00	$11,080.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $501.47 / $643.82 / $946.34	Facility	52	$501.47	$643.82	$946.34
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 $1,507.96 / $1,507.96 / $12,319.50	Facility		$1,507.96	$1,507.96	$12,319.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,219.08 / $1,219.08 / $7,227.90	Facility		$1,219.08	$1,219.08	$7,227.90
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $959.49 / $959.49 / $959.49	Facility	52	$959.49	$959.49	$959.49
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $119.94 / $119.94 / $119.94	Facility	AS	$119.94	$119.94	$119.94
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $949.00 / $2,880.95	Facility		$332.00	$949.00	$2,880.95
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $993.16 / $993.16 / $993.16	Facility		$993.16	$993.16	$993.16
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $1,219.08 / $41,554.00	Facility		$597.00	$1,219.08	$41,554.00
MVP Health Care Facility/Professional Facility Modifier 52 Low / Median / High Price $959.49 / $959.49 / $959.49	Facility	52	$959.49	$959.49	$959.49
MVP Health Care Facility/Professional Facility Modifier AS Low / Median / High Price $119.94 / $119.94 / $119.94	Facility	AS	$119.94	$119.94	$119.94
United Facility/Professional Facility Modifier Low / Median / High Price $2,264.00 / $5,547.00 / $12,457.00	Facility		$2,264.00	$5,547.00	$12,457.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,268.21 / $1,268.21 / $3,330.46	Facility		$1,268.21	$1,268.21	$3,330.46