Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $5,888.44 / $17,378.01	Facility		$2,137.96	$5,888.44	$17,378.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $10,000.00 / $21,379.62	Facility		$4,570.88	$10,000.00	$21,379.62
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $3,467.37 / $16,595.87	Facility		$2,570.40	$3,467.37	$16,595.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $3,090.30 / $50,118.72	Facility		$34.67	$3,090.30	$50,118.72
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $3,715.35 / $3,715.35 / $3,715.35	Facility	22	$3,715.35	$3,715.35	$3,715.35
Cigna Facility/Professional Facility Modifier 62 Low / Median / High Price $1,949.84 / $1,949.84 / $1,949.84	Facility	62	$1,949.84	$1,949.84	$1,949.84
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $309.03 / $309.03 / $309.03	Facility	AS	$309.03	$309.03	$309.03
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $2,238.72 / $6,760.83	Facility		$1,862.09	$2,238.72	$6,760.83
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $1,659.59	Facility		$1,659.59	$1,659.59	$1,659.59
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $19,952.62 / $37,153.52	Facility		$1,995.26	$19,952.62	$37,153.52
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $50,118.72 / $75,857.76	Facility		$1,513.56	$50,118.72	$75,857.76
United Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $12,022.64 / $40,738.03	Facility		$2,754.23	$12,022.64	$40,738.03
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $3,019.95 / $5,495.41	Facility		$1,445.44	$3,019.95	$5,495.41