Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $710.82 / $5,067.00 / $12,990.00	Facility		$710.82	$5,067.00	$12,990.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,248.00 / $5,196.00 / $11,909.00	Facility		$3,248.00	$5,196.00	$11,909.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $831.14 / $2,644.00 / $12,319.50	Facility		$831.14	$2,644.00	$12,319.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $674.04 / $674.04 / $674.04	Facility		$674.04	$674.04	$674.04
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $67.11 / $67.11 / $67.11	Facility	AS	$67.11	$67.11	$67.11
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $870.00 / $1,585.98	Facility		$332.00	$870.00	$1,585.98
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $558.10 / $558.10 / $558.10	Facility		$558.10	$558.10	$558.10
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,175.21 / $2,772.59 / $3,465.81	Facility		$1,175.21	$2,772.59	$3,465.81
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $674.04	Facility		$555.00	$597.00	$674.04
MVP Health Care Facility/Professional Facility Modifier AS Low / Median / High Price $67.11 / $67.11 / $67.11	Facility	AS	$67.11	$67.11	$67.11
United Facility/Professional Facility Modifier Low / Median / High Price $2,264.00 / $5,248.00 / $11,200.00	Facility		$2,264.00	$5,248.00	$11,200.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $712.82 / $712.82 / $2,585.96	Facility		$712.82	$712.82	$2,585.96