Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $897.56 / $5,228.00 / $10,686.00	Facility		$897.56	$5,228.00	$10,686.00
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 $1,020.39 / $1,990.00 / $8,917.50	Facility		$1,020.39	$1,990.00	$8,917.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $823.94 / $823.94 / $823.94	Facility		$823.94	$823.94	$823.94
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $81.69 / $81.69 / $81.69	Facility	AS	$81.69	$81.69	$81.69
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $860.00 / $1,932.62	Facility		$332.00	$860.00	$1,932.62
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $683.25 / $683.25 / $683.25	Facility		$683.25	$683.25	$683.25
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,967.78 / $4,581.31 / $12,821.97	Facility		$1,967.78	$4,581.31	$12,821.97
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $823.94	Facility		$555.00	$597.00	$823.94
MVP Health Care Facility/Professional Facility Modifier AS Low / Median / High Price $81.69 / $81.69 / $81.69	Facility	AS	$81.69	$81.69	$81.69
United Facility/Professional Facility Modifier Low / Median / High Price $2,341.00 / $6,700.00 / $16,782.00	Facility		$2,341.00	$6,700.00	$16,782.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $869.34 / $869.34 / $3,082.07	Facility		$869.34	$869.34	$3,082.07