Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,094.88 / $5,228.00 / $12,051.00	Facility		$1,094.88	$5,228.00	$12,051.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,977.00 / $9,808.00 / $16,411.00	Facility		$4,977.00	$9,808.00	$16,411.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,249.35 / $2,390.00 / $10,957.50	Facility		$1,249.35	$2,390.00	$10,957.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,005.10 / $1,005.10 / $1,005.10	Facility		$1,005.10	$1,005.10	$1,005.10
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $99.88 / $99.88 / $99.88	Facility	AS	$99.88	$99.88	$99.88
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,125.00 / $2,365.21	Facility		$332.00	$1,125.00	$2,365.21
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $832.59 / $832.59 / $832.59	Facility		$832.59	$832.59	$832.59
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,042.62 / $6,562.78 / $16,920.09	Facility		$3,042.62	$6,562.78	$16,920.09
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,005.10 / $15,753.00	Facility		$555.00	$1,005.10	$15,753.00
MVP Health Care Facility/Professional Facility Modifier AS Low / Median / High Price $99.88 / $99.88 / $99.88	Facility	AS	$99.88	$99.88	$99.88
United Facility/Professional Facility Modifier Low / Median / High Price $2,444.00 / $8,422.00 / $22,301.00	Facility		$2,444.00	$8,422.00	$22,301.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,061.66 / $1,061.66 / $3,459.41	Facility		$1,061.66	$1,061.66	$3,459.41