Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $833.04 / $3,621.00 / $10,965.00	Facility		$833.04	$3,621.00	$10,965.00
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 $1,012.27 / $1,012.27 / $13,477.50	Facility		$1,012.27	$1,012.27	$13,477.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $825.13 / $44,560.00 / $53,687.00	Facility		$825.13	$44,560.00	$53,687.00
Cigna Facility/Professional Facility Modifier 62 Low / Median / High Price $506.10 / $506.10 / $506.10	Facility	62	$506.10	$506.10	$506.10
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $80.98 / $80.98 / $80.98	Facility	AS	$80.98	$80.98	$80.98
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,146.00 / $13,558.00	Facility		$332.00	$1,146.00	$13,558.00
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $662.00 / $662.00 / $662.00	Facility		$662.00	$662.00	$662.00
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,243.52 / $3,243.52 / $3,243.52	Facility		$3,243.52	$3,243.52	$3,243.52
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $26,028.00 / $53,687.00	Facility		$555.00	$26,028.00	$53,687.00
MVP Health Care Facility/Professional Facility Modifier 62 Low / Median / High Price $506.10 / $506.10 / $506.10	Facility	62	$506.10	$506.10	$506.10
MVP Health Care Facility/Professional Facility Modifier AS Low / Median / High Price $80.98 / $80.98 / $80.98	Facility	AS	$80.98	$80.98	$80.98
United Facility/Professional Facility Modifier Low / Median / High Price $2,341.00 / $6,762.00 / $16,961.00	Facility		$2,341.00	$6,762.00	$16,961.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,193.94 / $1,193.94 / $3,625.81	Facility		$1,193.94	$1,193.94	$3,625.81