Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $826.61 / $3,797.00 / $11,609.00	Facility		$826.61	$3,797.00	$11,609.00
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 $1,057.03 / $1,057.03 / $13,009.50	Facility		$1,057.03	$1,057.03	$13,009.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $858.77 / $858.77 / $858.77	Facility		$858.77	$858.77	$858.77
Cigna Facility/Professional Facility Modifier 62 Low / Median / High Price $526.61 / $526.61 / $526.61	Facility	62	$526.61	$526.61	$526.61
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $84.26 / $84.26 / $84.26	Facility	AS	$84.26	$84.26	$84.26
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,182.00 / $4,525.63	Facility		$332.00	$1,182.00	$4,525.63
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $689.24 / $689.24 / $689.24	Facility		$689.24	$689.24	$689.24
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $901.41 / $1,107.25 / $6,687.50	Facility		$901.41	$1,107.25	$6,687.50
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 $526.61 / $526.61 / $526.61	Facility	62	$526.61	$526.61	$526.61
MVP Health Care Facility/Professional Facility Modifier AS Low / Median / High Price $84.26 / $84.26 / $84.26	Facility	AS	$84.26	$84.26	$84.26
United Facility/Professional Facility Modifier Low / Median / High Price $964.00 / $2,826.00 / $4,851.00	Facility		$964.00	$2,826.00	$4,851.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,244.98 / $1,244.98 / $3,796.86	Facility		$1,244.98	$1,244.98	$3,796.86