Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $740.72 / $3,557.00 / $10,081.00	Facility		$740.72	$3,557.00	$10,081.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,749.00 / $10,141.00 / $17,156.00	Facility		$4,749.00	$10,141.00	$17,156.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $879.50 / $1,254.00 / $4,050.00	Facility		$879.50	$1,254.00	$4,050.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $708.63 / $22,827.00 / $27,502.00	Facility		$708.63	$22,827.00	$27,502.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $70.80 / $70.80 / $70.80	Facility	AS	$70.80	$70.80	$70.80
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $940.00 / $3,816.40	Facility		$332.00	$940.00	$3,816.40
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $586.75 / $586.75 / $586.75	Facility		$586.75	$586.75	$586.75
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,645.22 / $8,550.40 / $12,888.30	Facility		$1,645.22	$8,550.40	$12,888.30
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $15,753.00 / $27,502.00	Facility		$555.00	$15,753.00	$27,502.00
MVP Health Care Facility/Professional Facility Modifier AS Low / Median / High Price $70.80 / $70.80 / $70.80	Facility	AS	$70.80	$70.80	$70.80
United Facility/Professional Facility Modifier Low / Median / High Price $2,264.00 / $6,136.00 / $15,063.00	Facility		$2,264.00	$6,136.00	$15,063.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $752.04 / $752.04 / $2,736.68	Facility		$752.04	$752.04	$2,736.68