Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,819.00 / $5,411.00 / $13,950.00	Facility		$1,819.00	$5,411.00	$13,950.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,283.00 / $5,434.00 / $13,172.00	Facility		$3,283.00	$5,434.00	$13,172.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,145.79 / $4,492.50 / $13,477.50	Facility		$2,145.79	$4,492.50	$13,477.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,738.20 / $1,738.20 / $1,738.20	Facility		$1,738.20	$1,738.20	$1,738.20
Cigna Facility/Professional Facility Modifier 62 Low / Median / High Price $1,073.02 / $1,073.02 / $1,073.02	Facility	62	$1,073.02	$1,073.02	$1,073.02
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $171.68 / $171.68 / $171.68	Facility	AS	$171.68	$171.68	$171.68
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $2,150.00 / $4,145.68	Facility		$332.00	$2,150.00	$4,145.68
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,414.88 / $1,414.88 / $1,414.88	Facility		$1,414.88	$1,414.88	$1,414.88
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,042.11 / $1,501.96 / $5,408.49	Facility		$1,042.11	$1,501.96	$5,408.49
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
MVP Health Care Facility/Professional Facility Modifier 62 Low / Median / High Price $1,073.02 / $1,073.02 / $1,073.02	Facility	62	$1,073.02	$1,073.02	$1,073.02
MVP Health Care Facility/Professional Facility Modifier AS Low / Median / High Price $171.68 / $171.68 / $171.68	Facility	AS	$171.68	$171.68	$171.68
United Facility/Professional Facility Modifier Low / Median / High Price $2,673.00 / $7,719.00 / $20,479.00	Facility		$2,673.00	$7,719.00	$20,479.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,547.71 / $2,547.71 / $6,822.59	Facility		$2,547.71	$2,547.71	$6,822.59