Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $615.40 / $3,731.00 / $9,038.00	Facility		$615.40	$3,731.00	$9,038.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $346.13 / $441.49 / $653.15	Facility	54	$346.13	$441.49	$653.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,385.00 / $4,133.00 / $9,074.00	Facility		$2,385.00	$4,133.00	$9,074.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $678.07 / $1,716.00 / $6,213.00	Facility		$678.07	$1,716.00	$6,213.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $550.91 / $550.91 / $550.91	Facility		$550.91	$550.91	$550.91
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $384.68 / $384.68 / $384.68	Facility	54	$384.68	$384.68	$384.68
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $150.00 / $332.00 / $1,297.53	Facility		$150.00	$332.00	$1,297.53
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $455.85 / $455.85 / $455.85	Facility		$455.85	$455.85	$455.85
Excellus BCBS Facility/Professional Facility Modifier 54 Low / Median / High Price $360.12 / $360.12 / $360.12	Facility	54	$360.12	$360.12	$360.12
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,700.42 / $2,700.42 / $2,700.42	Facility		$2,700.42	$2,700.42	$2,700.42
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $550.91 / $555.00 / $23,612.00	Facility		$550.91	$555.00	$23,612.00
MVP Health Care Facility/Professional Facility Modifier 54 Low / Median / High Price $384.68 / $384.68 / $384.68	Facility	54	$384.68	$384.68	$384.68
United Facility/Professional Facility Modifier Low / Median / High Price $1,768.00 / $3,961.00 / $8,312.00	Facility		$1,768.00	$3,961.00	$8,312.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $583.54 / $583.54 / $1,730.05	Facility		$583.54	$583.54	$1,730.05
Univera Facility/Professional Facility Modifier 54 Low / Median / High Price $360.12 / $460.99 / $460.99	Facility	54	$360.12	$460.99	$460.99