Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $476.87 / $3,621.00 / $16,567.00	Facility		$476.87	$3,621.00	$16,567.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,574.00 / $8,170.00 / $16,083.00	Facility		$4,574.00	$8,170.00	$16,083.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $550.69 / $2,390.00 / $10,957.50	Facility		$550.69	$2,390.00	$10,957.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $450.12 / $44,560.00 / $53,687.00	Facility		$450.12	$44,560.00	$53,687.00
Cigna Facility/Professional Facility Modifier 62 Low / Median / High Price $276.13 / $276.13 / $276.13	Facility	62	$276.13	$276.13	$276.13
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $44.18 / $44.18 / $44.18	Facility	AS	$44.18	$44.18	$44.18
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $329.00 / $475.81 / $13,558.00	Facility		$329.00	$475.81	$13,558.00
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $361.44 / $361.44 / $361.44	Facility		$361.44	$361.44	$361.44
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $560.07 / $1,832.16 / $2,553.00	Facility		$560.07	$1,832.16	$2,553.00
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $450.12 / $26,028.00 / $53,687.00	Facility		$450.12	$26,028.00	$53,687.00
MVP Health Care Facility/Professional Facility Modifier 62 Low / Median / High Price $276.13 / $276.13 / $276.13	Facility	62	$276.13	$276.13	$276.13
MVP Health Care Facility/Professional Facility Modifier AS Low / Median / High Price $44.18 / $44.18 / $44.18	Facility	AS	$44.18	$44.18	$44.18
United Facility/Professional Facility Modifier Low / Median / High Price $2,264.00 / $5,963.00 / $14,457.00	Facility		$2,264.00	$5,963.00	$14,457.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $651.17 / $651.17 / $1,164.04	Facility		$651.17	$651.17	$1,164.04