Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $5,248.07 / $10,964.78	Facility		$1,023.29	$5,248.07	$10,964.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $11,481.54 / $18,620.87	Facility		$4,786.30	$11,481.54	$18,620.87
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,995.26 / $8,912.51	Facility		$1,096.48	$1,995.26	$8,912.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $50,118.72	Facility		$1,318.26	$1,318.26	$50,118.72
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $131.83 / $131.83 / $131.83	Facility	AS	$131.83	$131.83	$131.83
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,202.26 / $2,818.38	Facility		$851.14	$1,202.26	$2,818.38
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $724.44 / $724.44	Facility		$724.44	$724.44	$724.44
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $12,302.69 / $17,782.79	Facility		$2,511.89	$12,302.69	$17,782.79
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $50,118.72 / $75,857.76	Facility		$812.83	$50,118.72	$75,857.76
United Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $5,888.44 / $14,791.08	Facility		$2,398.83	$5,888.44	$14,791.08
Univera Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $933.25 / $3,630.78	Facility		$630.96	$933.25	$3,630.78