Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $4,168.69 / $13,803.84	Facility		$1,000.00	$4,168.69	$13,803.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $11,481.54 / $21,379.62	Facility		$4,786.30	$11,481.54	$21,379.62
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $2,398.83 / $10,964.78	Facility		$1,047.13	$2,398.83	$10,964.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $50,118.72	Facility		$1,258.93	$1,258.93	$50,118.72
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $1,513.56 / $1,513.56 / $1,513.56	Facility	22	$1,513.56	$1,513.56	$1,513.56
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $125.89 / $125.89 / $125.89	Facility	AS	$125.89	$125.89	$125.89
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,096.48 / $2,691.53	Facility		$812.83	$1,096.48	$2,691.53
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $707.95 / $707.95	Facility		$707.95	$707.95	$707.95
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $7,244.36 / $14,791.08	Facility		$2,238.72	$7,244.36	$14,791.08
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $50,118.72 / $75,857.76	Facility		$776.25	$50,118.72	$75,857.76
United Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $5,888.44 / $14,791.08	Facility		$2,398.83	$5,888.44	$14,791.08
Univera Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $891.25 / $3,467.37	Facility		$616.60	$891.25	$3,467.37