Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,819.00 / $6,067.00 / $16,567.00	Facility		$1,819.00	$6,067.00	$16,567.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,040.00 / $10,898.00 / $23,873.00	Facility		$5,040.00	$10,898.00	$23,873.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,224.32 / $4,492.50 / $13,477.50	Facility		$2,224.32	$4,492.50	$13,477.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,799.47 / $1,799.47 / $1,799.47	Facility		$1,799.47	$1,799.47	$1,799.47
Cigna Facility/Professional Facility Modifier 62 Low / Median / High Price $1,113.57 / $1,113.57 / $1,113.57	Facility	62	$1,113.57	$1,113.57	$1,113.57
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $178.17 / $178.17 / $178.17	Facility	AS	$178.17	$178.17	$178.17
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $2,152.00 / $4,307.13	Facility		$332.00	$2,152.00	$4,307.13
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,466.58 / $1,466.58 / $1,466.58	Facility		$1,466.58	$1,466.58	$1,466.58
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,669.95 / $19,170.18 / $30,850.08	Facility		$1,669.95	$19,170.18	$30,850.08
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 $1,113.57 / $1,113.57 / $1,113.57	Facility	62	$1,113.57	$1,113.57	$1,113.57
MVP Health Care Facility/Professional Facility Modifier AS Low / Median / High Price $178.17 / $178.17 / $178.17	Facility	AS	$178.17	$178.17	$178.17
United Facility/Professional Facility Modifier Low / Median / High Price $2,341.00 / $8,597.00 / $23,070.00	Facility		$2,341.00	$8,597.00	$23,070.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,641.65 / $2,641.65 / $6,904.80	Facility		$2,641.65	$2,641.65	$6,904.80