Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $674.05 / $4,140.00 / $11,609.00	Facility		$674.05	$4,140.00	$11,609.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,263.00 / $5,705.00 / $12,879.00	Facility		$3,263.00	$5,705.00	$12,879.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $608.55 / $5,511.50 / $16,534.50	Facility		$608.55	$5,511.50	$16,534.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $734.64 / $734.64 / $734.64	Facility		$734.64	$734.64	$734.64
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $522.21 / $4,520.00	Facility		$332.00	$522.21	$4,520.00
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,597.65 / $1,597.65 / $1,597.65	Facility		$1,597.65	$1,597.65	$1,597.65
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,920.64 / $12,920.64 / $13,053.60	Facility		$12,920.64	$12,920.64	$13,053.60
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $37,776.00	Facility		$555.00	$597.00	$37,776.00
United Facility/Professional Facility Modifier Low / Median / High Price $2,264.00 / $5,735.00 / $13,262.00	Facility		$2,264.00	$5,735.00	$13,262.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $722.31 / $722.31 / $1,335.84	Facility		$722.31	$722.31	$1,335.84