Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,209.41 / $4,629.00 / $10,674.00	Facility		$1,209.41	$4,629.00	$10,674.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,283.00 / $5,434.00 / $12,168.00	Facility		$3,283.00	$5,434.00	$12,168.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,406.14 / $1,406.14 / $37,499.62	Facility		$1,406.14	$1,406.14	$37,499.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,130.08 / $1,130.08 / $1,130.08	Facility		$1,130.08	$1,130.08	$1,130.08
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $112.33 / $112.33 / $112.33	Facility	AS	$112.33	$112.33	$112.33
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,601.00 / $2,662.99	Facility		$332.00	$1,601.00	$2,662.99
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $935.76 / $935.76 / $935.76	Facility		$935.76	$935.76	$935.76
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,596.07 / $6,596.07 / $6,596.07	Facility		$6,596.07	$6,596.07	$6,596.07
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $1,130.08	Facility		$555.00	$597.00	$1,130.08
MVP Health Care Facility/Professional Facility Modifier AS Low / Median / High Price $112.33 / $112.33 / $112.33	Facility	AS	$112.33	$112.33	$112.33
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 $1,193.77 / $1,193.77 / $4,587.75	Facility		$1,193.77	$1,193.77	$4,587.75