Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $947.18 / $4,827.00 / $10,526.00	Facility		$947.18	$4,827.00	$10,526.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $478.01 / $625.34 / $924.12	Facility	54	$478.01	$625.34	$924.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,385.00 / $4,133.00 / $9,074.00	Facility		$2,385.00	$4,133.00	$9,074.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $969.51 / $2,390.00 / $10,957.50	Facility		$969.51	$2,390.00	$10,957.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $767.27 / $767.27 / $1,685.80	Facility		$767.27	$767.27	$1,685.80
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $537.09 / $537.09 / $537.09	Facility	54	$537.09	$537.09	$537.09
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $720.75 / $1,740.42	Facility		$332.00	$720.75	$1,740.42
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $767.27 / $74,999.25	Facility		$555.00	$767.27	$74,999.25
MVP Health Care Facility/Professional Facility Modifier 54 Low / Median / High Price $537.09 / $537.09 / $537.09	Facility	54	$537.09	$537.09	$537.09
United Facility/Professional Facility Modifier Low / Median / High Price $1,652.00 / $4,370.00 / $9,187.00	Facility		$1,652.00	$4,370.00	$9,187.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $938.62 / $938.62 / $1,953.30	Facility		$938.62	$938.62	$1,953.30
Univera Facility/Professional Facility Modifier 54 Low / Median / High Price $750.89 / $750.89 / $750.89	Facility	54	$750.89	$750.89	$750.89