Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,029.01 / $6,962.00 / $37,987.00	Facility		$2,029.01	$6,962.00	$37,987.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,040.00 / $10,911.00 / $58,715.00	Facility		$5,040.00	$10,911.00	$58,715.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,376.94 / $4,492.50 / $13,477.50	Facility		$2,376.94	$4,492.50	$13,477.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,938.95 / $44,560.00 / $53,687.00	Facility		$1,938.95	$44,560.00	$53,687.00
Cigna Facility/Professional Facility Modifier 62 Low / Median / High Price $1,200.02 / $1,200.02 / $1,200.02	Facility	62	$1,200.02	$1,200.02	$1,200.02
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $192.00 / $192.00 / $192.00	Facility	AS	$192.00	$192.00	$192.00
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $2,043.61 / $13,558.00	Facility		$332.00	$2,043.61	$13,558.00
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,572.01 / $1,572.01 / $1,572.01	Facility		$1,572.01	$1,572.01	$1,572.01
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,167.00 / $11,404.78 / $21,576.88	Facility		$3,167.00	$11,404.78	$21,576.88
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $26,028.00 / $53,687.00	Facility		$555.00	$26,028.00	$53,687.00
MVP Health Care Facility/Professional Facility Modifier 62 Low / Median / High Price $1,200.02 / $1,200.02 / $1,200.02	Facility	62	$1,200.02	$1,200.02	$1,200.02
MVP Health Care Facility/Professional Facility Modifier AS Low / Median / High Price $192.00 / $192.00 / $192.00	Facility	AS	$192.00	$192.00	$192.00
United Facility/Professional Facility Modifier Low / Median / High Price $2,341.00 / $9,428.00 / $35,232.00	Facility		$2,341.00	$9,428.00	$35,232.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,832.10 / $2,832.10 / $4,986.39	Facility		$2,832.10	$2,832.10	$4,986.39