Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,819.00 / $5,845.00 / $31,993.00	Facility		$1,819.00	$5,845.00	$31,993.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $790.93 / $980.36 / $1,350.70	Facility	52	$790.93	$980.36	$1,350.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,793.00 / $10,898.00 / $25,931.00	Facility		$4,793.00	$10,898.00	$25,931.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,149.37 / $2,149.37 / $37,499.62	Facility		$2,149.37	$2,149.37	$37,499.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,723.69 / $1,723.69 / $43,302.00	Facility		$1,723.69	$1,723.69	$43,302.00
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $1,362.43 / $1,362.43 / $1,362.43	Facility	52	$1,362.43	$1,362.43	$1,362.43
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $170.30 / $170.30 / $170.30	Facility	AS	$170.30	$170.30	$170.30
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $2,215.00 / $4,038.89	Facility		$332.00	$2,215.00	$4,038.89
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,418.78 / $1,418.78 / $1,418.78	Facility		$1,418.78	$1,418.78	$1,418.78
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $23,753.80 / $24,914.75 / $25,253.63	Facility		$23,753.80	$24,914.75	$25,253.63
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,723.69 / $54,793.00	Facility		$555.00	$1,723.69	$54,793.00
MVP Health Care Facility/Professional Facility Modifier 52 Low / Median / High Price $1,362.43 / $1,362.43 / $1,362.43	Facility	52	$1,362.43	$1,362.43	$1,362.43
MVP Health Care Facility/Professional Facility Modifier AS Low / Median / High Price $170.30 / $170.30 / $170.30	Facility	AS	$170.30	$170.30	$170.30
United Facility/Professional Facility Modifier Low / Median / High Price $2,673.00 / $11,223.00 / $41,432.00	Facility		$2,673.00	$11,223.00	$41,432.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,810.10 / $1,810.10 / $7,077.11	Facility		$1,810.10	$1,810.10	$7,077.11