Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $502.36 / $2,974.00 / $9,959.00	Facility		$502.36	$2,974.00	$9,959.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $287.14 / $377.05 / $558.41	Facility	54	$287.14	$377.05	$558.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,385.00 / $4,133.00 / $9,074.00	Facility		$2,385.00	$4,133.00	$9,074.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $578.99 / $1,254.00 / $4,050.00	Facility		$578.99	$1,254.00	$4,050.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $472.05 / $472.05 / $472.05	Facility		$472.05	$472.05	$472.05
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $328.83 / $328.83 / $328.83	Facility	54	$328.83	$328.83	$328.83
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $225.00 / $364.50 / $1,111.73	Facility		$225.00	$364.50	$1,111.73
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $390.59 / $390.59 / $390.59	Facility		$390.59	$390.59	$390.59
Excellus BCBS Facility/Professional Facility Modifier 54 Low / Median / High Price $308.56 / $308.56 / $308.56	Facility	54	$308.56	$308.56	$308.56
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,632.60 / $1,692.16 / $3,118.09	Facility		$1,632.60	$1,692.16	$3,118.09
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $472.05 / $555.00 / $597.00	Facility		$472.05	$555.00	$597.00
MVP Health Care Facility/Professional Facility Modifier 54 Low / Median / High Price $328.83 / $328.83 / $328.83	Facility	54	$328.83	$328.83	$328.83
United Facility/Professional Facility Modifier Low / Median / High Price $1,768.00 / $3,930.00 / $8,312.00	Facility		$1,768.00	$3,930.00	$8,312.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $498.88 / $498.88 / $1,651.36	Facility		$498.88	$498.88	$1,651.36
Univera Facility/Professional Facility Modifier 54 Low / Median / High Price $308.56 / $394.12 / $394.12	Facility	54	$308.56	$394.12	$394.12