Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $959.04 / $4,574.00 / $10,965.00	Facility		$959.04	$4,574.00	$10,965.00
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 $1,054.43 / $1,990.00 / $8,917.50	Facility		$1,054.43	$1,990.00	$8,917.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $857.80 / $857.80 / $857.80	Facility		$857.80	$857.80	$857.80
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $85.30 / $85.30 / $85.30	Facility	AS	$85.30	$85.30	$85.30
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $937.00 / $2,017.49	Facility		$332.00	$937.00	$2,017.49
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $710.40 / $710.40 / $710.40	Facility		$710.40	$710.40	$710.40
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $998.37 / $4,318.09 / $11,976.25	Facility		$998.37	$4,318.09	$11,976.25
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $857.80 / $15,753.00	Facility		$555.00	$857.80	$15,753.00
MVP Health Care Facility/Professional Facility Modifier AS Low / Median / High Price $85.30 / $85.30 / $85.30	Facility	AS	$85.30	$85.30	$85.30
United Facility/Professional Facility Modifier Low / Median / High Price $2,264.00 / $5,963.00 / $14,457.00	Facility		$2,264.00	$5,963.00	$14,457.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $906.90 / $906.90 / $2,999.18	Facility		$906.90	$906.90	$2,999.18