Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,205.43 / $4,051.00 / $10,296.00	Facility		$1,205.43	$4,051.00	$10,296.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,749.00 / $9,877.00 / $16,490.00	Facility		$4,749.00	$9,877.00	$16,490.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,390.05 / $1,990.00 / $8,917.50	Facility		$1,390.05	$1,990.00	$8,917.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,133.06 / $1,133.06 / $1,133.06	Facility		$1,133.06	$1,133.06	$1,133.06
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $112.33 / $112.33 / $112.33	Facility	AS	$112.33	$112.33	$112.33
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,309.00 / $2,658.65	Facility		$332.00	$1,309.00	$2,658.65
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $939.28 / $939.28 / $939.28	Facility		$939.28	$939.28	$939.28
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,000.38 / $6,000.38 / $6,000.38	Facility		$6,000.38	$6,000.38	$6,000.38
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $1,133.06	Facility		$555.00	$597.00	$1,133.06
MVP Health Care Facility/Professional Facility Modifier AS Low / Median / High Price $112.33 / $112.33 / $112.33	Facility	AS	$112.33	$112.33	$112.33
United Facility/Professional Facility Modifier Low / Median / High Price $2,705.00 / $5,547.00 / $12,509.00	Facility		$2,705.00	$5,547.00	$12,509.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,194.96 / $1,194.96 / $4,158.49	Facility		$1,194.96	$1,194.96	$4,158.49