Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,908.20 / $5,324.00 / $12,990.00	Facility		$1,908.20	$5,324.00	$12,990.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $907.06 / $1,117.04 / $1,542.58	Facility	52	$907.06	$1,117.04	$1,542.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,768.00 / $10,355.00 / $21,443.00	Facility		$4,768.00	$10,355.00	$21,443.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,458.71 / $2,458.71 / $37,499.62	Facility		$2,458.71	$2,458.71	$37,499.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,967.28 / $1,967.28 / $45,433.00	Facility		$1,967.28	$1,967.28	$45,433.00
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $1,554.50 / $1,554.50 / $1,554.50	Facility	52	$1,554.50	$1,554.50	$1,554.50
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $194.31 / $194.31 / $194.31	Facility	AS	$194.31	$194.31	$194.31
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,179.85 / $8,650.00	Facility		$332.00	$1,179.85	$8,650.00
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,618.21 / $1,618.21 / $1,618.21	Facility		$1,618.21	$1,618.21	$1,618.21
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,911.64 / $4,911.64 / $9,028.48	Facility		$4,911.64	$4,911.64	$9,028.48
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,967.28 / $45,433.00	Facility		$555.00	$1,967.28	$45,433.00
MVP Health Care Facility/Professional Facility Modifier 52 Low / Median / High Price $1,554.50 / $1,554.50 / $1,554.50	Facility	52	$1,554.50	$1,554.50	$1,554.50
MVP Health Care Facility/Professional Facility Modifier AS Low / Median / High Price $194.31 / $194.31 / $194.31	Facility	AS	$194.31	$194.31	$194.31
United Facility/Professional Facility Modifier Low / Median / High Price $2,341.00 / $6,700.00 / $17,108.00	Facility		$2,341.00	$6,700.00	$17,108.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,067.23 / $2,067.23 / $4,401.29	Facility		$2,067.23	$2,067.23	$4,401.29