Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $485.68 / $2,792.00 / $7,307.00	Facility		$485.68	$2,792.00	$7,307.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $302.02 / $400.47 / $560.91	Facility	54	$302.02	$400.47	$560.91
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 $569.32 / $1,254.00 / $4,050.00	Facility		$569.32	$1,254.00	$4,050.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $699.73 / $699.73 / $699.73	Facility		$699.73	$699.73	$699.73
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $489.81 / $489.81 / $489.81	Facility	54	$489.81	$489.81	$489.81
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $520.00 / $1,113.11	Facility		$332.00	$520.00	$1,113.11
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $434.91 / $434.91 / $434.91	Facility		$434.91	$434.91	$434.91
Excellus BCBS Facility/Professional Facility Modifier 54 Low / Median / High Price $343.58 / $343.58 / $343.58	Facility	54	$343.58	$343.58	$343.58
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,133.89 / $2,133.89 / $2,133.89	Facility		$2,133.89	$2,133.89	$2,133.89
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 54 Low / Median / High Price $489.81 / $489.81 / $489.81	Facility	54	$489.81	$489.81	$489.81
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 $501.14 / $501.14 / $1,726.89	Facility		$501.14	$501.14	$1,726.89
Univera Facility/Professional Facility Modifier 54 Low / Median / High Price $343.58 / $395.90 / $395.90	Facility	54	$343.58	$395.90	$395.90