Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,983.47 / $5,960.00 / $17,547.00	Facility		$1,983.47	$5,960.00	$17,547.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,584.00 / $8,512.00 / $20,217.00	Facility		$4,584.00	$8,512.00	$20,217.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,588.53 / $5,511.50 / $16,534.50	Facility		$2,588.53	$5,511.50	$16,534.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,059.71 / $2,059.71 / $2,059.71	Facility		$2,059.71	$2,059.71	$2,059.71
Cigna Facility/Professional Facility Modifier 62 Low / Median / High Price $1,274.33 / $1,274.33 / $1,274.33	Facility	62	$1,274.33	$1,274.33	$1,274.33
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $203.90 / $203.90 / $203.90	Facility	AS	$203.90	$203.90	$203.90
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $2,010.67 / $4,979.00	Facility		$332.00	$2,010.67	$4,979.00
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,675.56 / $1,675.56 / $1,675.56	Facility		$1,675.56	$1,675.56	$1,675.56
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,725.58 / $19,178.97 / $35,710.44	Facility		$9,725.58	$19,178.97	$35,710.44
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 $1,274.33 / $1,274.33 / $1,274.33	Facility	62	$1,274.33	$1,274.33	$1,274.33
MVP Health Care Facility/Professional Facility Modifier AS Low / Median / High Price $203.90 / $203.90 / $203.90	Facility	AS	$203.90	$203.90	$203.90
United Facility/Professional Facility Modifier Low / Median / High Price $2,625.00 / $11,346.00 / $40,638.00	Facility		$2,625.00	$11,346.00	$40,638.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $3,013.31 / $3,013.31 / $5,466.25	Facility		$3,013.31	$3,013.31	$5,466.25