Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $618.30 / $4,072.50 / $10,686.00	Facility		$618.30	$4,072.50	$10,686.00
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 $711.17 / $2,390.00 / $10,957.50	Facility		$711.17	$2,390.00	$10,957.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $581.04 / $581.04 / $581.04	Facility		$581.04	$581.04	$581.04
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $645.00 / $1,364.04	Facility		$332.00	$645.00	$1,364.04
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $481.36 / $481.36 / $481.36	Facility		$481.36	$481.36	$481.36
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,434.11 / $4,425.45 / $5,028.03	Facility		$1,434.11	$4,425.45	$5,028.03
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $581.04 / $597.00	Facility		$555.00	$581.04	$597.00
United Facility/Professional Facility Modifier Low / Median / High Price $2,031.00 / $4,840.00 / $9,416.00	Facility		$2,031.00	$4,840.00	$9,416.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $613.50 / $613.50 / $1,610.63	Facility		$613.50	$613.50	$1,610.63