Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $951.94 / $5,224.00 / $12,075.00	Facility		$951.94	$5,224.00	$12,075.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,749.00 / $9,877.00 / $16,490.00	Facility		$4,749.00	$9,877.00	$16,490.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,103.11 / $2,644.00 / $12,319.50	Facility		$1,103.11	$2,644.00	$12,319.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $892.02 / $892.02 / $892.02	Facility		$892.02	$892.02	$892.02
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $88.58 / $88.58 / $88.58	Facility	AS	$88.58	$88.58	$88.58
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $848.50 / $2,099.63	Facility		$332.00	$848.50	$2,099.63
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $738.74 / $738.74 / $738.74	Facility		$738.74	$738.74	$738.74
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,793.06 / $5,793.06 / $7,135.00	Facility		$5,793.06	$5,793.06	$7,135.00
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $892.02	Facility		$555.00	$597.00	$892.02
MVP Health Care Facility/Professional Facility Modifier AS Low / Median / High Price $88.58 / $88.58 / $88.58	Facility	AS	$88.58	$88.58	$88.58
United Facility/Professional Facility Modifier Low / Median / High Price $2,341.00 / $6,700.00 / $16,903.00	Facility		$2,341.00	$6,700.00	$16,903.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $941.51 / $941.51 / $2,664.78	Facility		$941.51	$941.51	$2,664.78