Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $246.94 / $3,060.00 / $8,134.00	Facility		$246.94	$3,060.00	$8,134.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $137.91 / $181.37 / $305.83	Facility	54	$137.91	$181.37	$305.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $3,373.00 / $4,707.00	Facility		$1,689.00	$3,373.00	$4,707.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $254.03 / $1,254.00 / $4,050.00	Facility		$254.03	$1,254.00	$4,050.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $208.02 / $208.02 / $208.02	Facility		$208.02	$208.02	$208.02
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $140.13 / $140.13 / $140.13	Facility	54	$140.13	$140.13	$140.13
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $210.93 / $274.13 / $474.59	Facility		$210.93	$274.13	$474.59
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $166.14 / $166.14 / $166.14	Facility		$166.14	$166.14	$166.14
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $250.05 / $250.05 / $250.05	Facility		$250.05	$250.05	$250.05
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $208.02 / $555.00 / $597.00	Facility		$208.02	$555.00	$597.00
MVP Health Care Facility/Professional Facility Modifier 54 Low / Median / High Price $140.13 / $140.13 / $140.13	Facility	54	$140.13	$140.13	$140.13
United Facility/Professional Facility Modifier Low / Median / High Price $964.00 / $2,826.00 / $4,851.00	Facility		$964.00	$2,826.00	$4,851.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $213.02 / $213.02 / $2,163.02	Facility		$213.02	$213.02	$2,163.02