Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $906.13 / $5,167.00 / $11,691.00	Facility		$906.13	$5,167.00	$11,691.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,977.00 / $10,576.00 / $24,288.00	Facility		$4,977.00	$10,576.00	$24,288.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,211.55 / $2,288.50 / $37,499.62	Facility		$1,211.55	$2,288.50	$37,499.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $909.46 / $909.46 / $909.46	Facility		$909.46	$909.46	$909.46
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $90.07 / $90.07 / $90.07	Facility	AS	$90.07	$90.07	$90.07
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $978.47 / $2,141.73	Facility		$319.00	$978.47	$2,141.73
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $752.67 / $752.67 / $752.67	Facility		$752.67	$752.67	$752.67
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $13,683.41 / $18,170.27 / $35,785.58	Facility		$13,683.41	$18,170.27	$35,785.58
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $909.46	Facility		$555.00	$597.00	$909.46
MVP Health Care Facility/Professional Facility Modifier AS Low / Median / High Price $90.07 / $90.07 / $90.07	Facility	AS	$90.07	$90.07	$90.07
United Facility/Professional Facility Modifier Low / Median / High Price $2,673.00 / $7,719.00 / $18,532.00	Facility		$2,673.00	$7,719.00	$18,532.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $957.81 / $957.81 / $1,319.73	Facility		$957.81	$957.81	$1,319.73