Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,095.00 / $4,640.82 / $10,686.00	Facility		$1,095.00	$4,640.82	$10,686.00
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 $1,215.79 / $2,390.00 / $10,957.50	Facility		$1,215.79	$2,390.00	$10,957.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $975.72 / $975.72 / $975.72	Facility		$975.72	$975.72	$975.72
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $97.05 / $97.05 / $97.05	Facility	AS	$97.05	$97.05	$97.05
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,035.00 / $2,297.30	Facility		$332.00	$1,035.00	$2,297.30
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $808.16 / $808.16 / $808.16	Facility		$808.16	$808.16	$808.16
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $21,570.15 / $21,570.15 / $25,033.20	Facility		$21,570.15	$21,570.15	$25,033.20
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $23,612.00	Facility		$555.00	$597.00	$23,612.00
MVP Health Care Facility/Professional Facility Modifier AS Low / Median / High Price $97.05 / $97.05 / $97.05	Facility	AS	$97.05	$97.05	$97.05
United Facility/Professional Facility Modifier Low / Median / High Price $2,341.00 / $6,700.00 / $16,782.00	Facility		$2,341.00	$6,700.00	$16,782.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,031.42 / $1,031.42 / $3,984.52	Facility		$1,031.42	$1,031.42	$3,984.52