Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $373.90 / $1,819.00 / $7,095.00	Facility		$373.90	$1,819.00	$7,095.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $252.59 / $337.98 / $490.51	Facility	54	$252.59	$337.98	$490.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $3,373.00 / $4,707.00	Facility		$1,689.00	$3,373.00	$4,707.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $479.03 / $1,254.00 / $4,050.00	Facility		$479.03	$1,254.00	$4,050.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $596.58 / $596.58 / $596.58	Facility		$596.58	$596.58	$596.58
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $417.61 / $417.61 / $417.61	Facility	54	$417.61	$417.61	$417.61
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $115.00 / $332.00 / $944.60	Facility		$115.00	$332.00	$944.60
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $366.25 / $366.25 / $366.25	Facility		$366.25	$366.25	$366.25
Excellus BCBS Facility/Professional Facility Modifier 54 Low / Median / High Price $289.33 / $289.33 / $289.33	Facility	54	$289.33	$289.33	$289.33
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $193.56 / $344.86 / $1,498.55	Facility		$193.56	$344.86	$1,498.55
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $596.58 / $23,612.00	Facility		$555.00	$596.58	$23,612.00
MVP Health Care Facility/Professional Facility Modifier 54 Low / Median / High Price $417.61 / $417.61 / $417.61	Facility	54	$417.61	$417.61	$417.61
United Facility/Professional Facility Modifier Low / Median / High Price $964.00 / $2,826.00 / $4,851.00	Facility		$964.00	$2,826.00	$4,851.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $421.99 / $421.99 / $1,449.50	Facility		$421.99	$421.99	$1,449.50
Univera Facility/Professional Facility Modifier 54 Low / Median / High Price $289.33 / $333.37 / $333.37	Facility	54	$289.33	$333.37	$333.37