Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $555.39 / $2,626.00 / $8,585.12	Facility		$555.39	$2,626.00	$8,585.12
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $354.50 / $472.17 / $643.76	Facility	54	$354.50	$472.17	$643.76
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 $659.42 / $1,716.00 / $6,213.00	Facility		$659.42	$1,716.00	$6,213.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $801.14 / $801.14 / $801.14	Facility		$801.14	$801.14	$801.14
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $560.79 / $560.79 / $560.79	Facility	54	$560.79	$560.79	$560.79
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $523.25 / $1,267.70	Facility		$332.00	$523.25	$1,267.70
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $500.57 / $500.57 / $500.57	Facility		$500.57	$500.57	$500.57
Excellus BCBS Facility/Professional Facility Modifier 54 Low / Median / High Price $395.45 / $395.45 / $395.45	Facility	54	$395.45	$395.45	$395.45
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,672.69 / $2,117.01 / $2,611.69	Facility		$1,672.69	$2,117.01	$2,611.69
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $801.14	Facility		$555.00	$597.00	$801.14
MVP Health Care Facility/Professional Facility Modifier 54 Low / Median / High Price $560.79 / $560.79 / $560.79	Facility	54	$560.79	$560.79	$560.79
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 $570.50 / $570.50 / $2,094.55	Facility		$570.50	$570.50	$2,094.55
Univera Facility/Professional Facility Modifier 54 Low / Median / High Price $395.45 / $450.70 / $450.70	Facility	54	$395.45	$450.70	$450.70