Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $606.86 / $3,756.00 / $9,038.00	Facility		$606.86	$3,756.00	$9,038.00
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 $682.95 / $1,716.00 / $6,213.00	Facility		$682.95	$1,716.00	$6,213.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $555.37 / $555.37 / $555.37	Facility		$555.37	$555.37	$555.37
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $55.10 / $55.10 / $55.10	Facility	AS	$55.10	$55.10	$55.10
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $528.72 / $1,307.88	Facility		$332.00	$528.72	$1,307.88
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $459.72 / $459.72 / $459.72	Facility		$459.72	$459.72	$459.72
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,862.96 / $4,862.96 / $4,862.96	Facility		$4,862.96	$4,862.96	$4,862.96
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $555.37 / $597.00	Facility		$555.00	$555.37	$597.00
MVP Health Care Facility/Professional Facility Modifier AS Low / Median / High Price $55.10 / $55.10 / $55.10	Facility	AS	$55.10	$55.10	$55.10
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 $585.54 / $585.54 / $2,117.67	Facility		$585.54	$585.54	$2,117.67