Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,131.00 / $4,629.00 / $10,323.86	Facility		$1,131.00	$4,629.00	$10,323.86
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 $1,311.92 / $2,390.00 / $10,957.50	Facility		$1,311.92	$2,390.00	$10,957.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,056.44 / $1,056.44 / $1,056.44	Facility		$1,056.44	$1,056.44	$1,056.44
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $104.91 / $104.91 / $104.91	Facility	AS	$104.91	$104.91	$104.91
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,242.00 / $2,487.21	Facility		$332.00	$1,242.00	$2,487.21
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $875.02 / $875.02 / $875.02	Facility		$875.02	$875.02	$875.02
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $20,760.75 / $20,760.75 / $20,767.34	Facility		$20,760.75	$20,760.75	$20,767.34
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 $104.91 / $104.91 / $104.91	Facility	AS	$104.91	$104.91	$104.91
United Facility/Professional Facility Modifier Low / Median / High Price $2,444.00 / $8,422.00 / $24,017.00	Facility		$2,444.00	$8,422.00	$24,017.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,115.15 / $1,115.15 / $3,623.03	Facility		$1,115.15	$1,115.15	$3,623.03