Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,038.58 / $5,370.00 / $15,574.21	Facility		$1,038.58	$5,370.00	$15,574.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,749.00 / $9,877.00 / $17,154.00	Facility		$4,749.00	$9,877.00	$17,154.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,204.56 / $3,478.50 / $13,477.50	Facility		$1,204.56	$3,478.50	$13,477.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $969.02 / $969.02 / $969.02	Facility		$969.02	$969.02	$969.02
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $96.34 / $96.34 / $96.34	Facility	AS	$96.34	$96.34	$96.34
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,040.00 / $3,306.81	Facility		$332.00	$1,040.00	$3,306.81
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $802.63 / $802.63 / $802.63	Facility		$802.63	$802.63	$802.63
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,714.60 / $4,714.60 / $12,208.00	Facility		$4,714.60	$4,714.60	$12,208.00
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $969.02 / $23,612.00	Facility		$555.00	$969.02	$23,612.00
MVP Health Care Facility/Professional Facility Modifier AS Low / Median / High Price $96.34 / $96.34 / $96.34	Facility	AS	$96.34	$96.34	$96.34
United Facility/Professional Facility Modifier Low / Median / High Price $2,264.00 / $5,963.00 / $14,457.00	Facility		$2,264.00	$5,963.00	$14,457.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,024.00 / $1,024.00 / $4,463.82	Facility		$1,024.00	$1,024.00	$4,463.82