Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $654.88 / $4,409.00 / $11,396.00	Facility		$654.88	$4,409.00	$11,396.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,248.00 / $5,196.00 / $11,909.00	Facility		$3,248.00	$5,196.00	$11,909.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $756.38 / $2,644.00 / $12,319.50	Facility		$756.38	$2,644.00	$12,319.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $614.15 / $614.15 / $614.15	Facility		$614.15	$614.15	$614.15
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $60.88 / $60.88 / $60.88	Facility	AS	$60.88	$60.88	$60.88
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $286.00 / $561.60 / $1,447.92	Facility		$286.00	$561.60	$1,447.92
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $508.25 / $508.25 / $508.25	Facility		$508.25	$508.25	$508.25
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,771.80 / $3,771.80 / $3,771.80	Facility		$3,771.80	$3,771.80	$3,771.80
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $614.15	Facility		$555.00	$597.00	$614.15
MVP Health Care Facility/Professional Facility Modifier AS Low / Median / High Price $60.88 / $60.88 / $60.88	Facility	AS	$60.88	$60.88	$60.88
United Facility/Professional Facility Modifier Low / Median / High Price $2,031.00 / $4,840.00 / $9,416.00	Facility		$2,031.00	$4,840.00	$9,416.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $646.69 / $646.69 / $1,441.21	Facility		$646.69	$646.69	$1,441.21