Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $2,884.03 / $8,511.38	Facility		$630.96	$2,884.03	$8,511.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $4,786.30 / $10,000.00	Facility		$2,630.27	$4,786.30	$10,000.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $1,698.24 / $6,165.95	Facility		$660.69	$1,698.24	$6,165.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $794.33 / $50,118.72	Facility		$794.33	$794.33	$50,118.72
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $562.34 / $562.34 / $562.34	Facility	54	$562.34	$562.34	$562.34
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $630.96 / $1,862.09	Facility		$457.09	$630.96	$1,862.09
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $501.19 / $501.19	Facility		$501.19	$501.19	$501.19
Excellus BCBS Facility/Professional Facility Modifier 54 Low / Median / High Price $398.11 / $398.11 / $398.11	Facility	54	$398.11	$398.11	$398.11
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $2,089.30 / $2,754.23	Facility		$1,659.59	$2,089.30	$2,754.23
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $50,118.72 / $75,857.76	Facility		$478.63	$50,118.72	$75,857.76
United Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $2,754.23 / $4,897.79	Facility		$1,258.93	$2,754.23	$4,897.79
Univera Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $575.44 / $2,089.30	Facility		$389.05	$575.44	$2,089.30
Univera Facility/Professional Facility Modifier 54 Low / Median / High Price $309.03 / $338.84 / $446.68	Facility	54	$309.03	$338.84	$446.68