Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,060.89 / $5,370.00 / $12,568.00	Facility		$1,060.89	$5,370.00	$12,568.00
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 $1,187.76 / $3,478.50 / $13,477.50	Facility		$1,187.76	$3,478.50	$13,477.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $946.59 / $946.59 / $946.59	Facility		$946.59	$946.59	$946.59
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $94.66 / $94.66 / $94.66	Facility	AS	$94.66	$94.66	$94.66
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,185.00 / $2,215.76	Facility		$332.00	$1,185.00	$2,215.76
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $782.41 / $782.41 / $782.41	Facility		$782.41	$782.41	$782.41
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,824.54 / $5,824.54 / $5,824.54	Facility		$5,824.54	$5,824.54	$5,824.54
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $946.59	Facility		$555.00	$597.00	$946.59
MVP Health Care Facility/Professional Facility Modifier AS Low / Median / High Price $94.66 / $94.66 / $94.66	Facility	AS	$94.66	$94.66	$94.66
United Facility/Professional Facility Modifier Low / Median / High Price $2,264.00 / $5,248.00 / $11,200.00	Facility		$2,264.00	$5,248.00	$11,200.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,006.20 / $1,006.20 / $4,061.56	Facility		$1,006.20	$1,006.20	$4,061.56