Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $805.00 / $5,229.35 / $10,989.31	Facility		$805.00	$5,229.35	$10,989.31
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $10,475.15 / $10,475.15 / $10,475.15	Facility	50	$10,475.15	$10,475.15	$10,475.15
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 $855.57 / $1,990.00 / $8,917.50	Facility		$855.57	$1,990.00	$8,917.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $691.52 / $691.52 / $691.52	Facility		$691.52	$691.52	$691.52
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $69.08 / $69.08 / $69.08	Facility	AS	$69.08	$69.08	$69.08
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $981.00 / $1,626.37	Facility		$332.00	$981.00	$1,626.37
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $572.47 / $572.47 / $572.47	Facility		$572.47	$572.47	$572.47
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,967.78 / $7,288.28 / $14,105.09	Facility		$1,967.78	$7,288.28	$14,105.09
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $691.52 / $37,940.00	Facility		$555.00	$691.52	$37,940.00
MVP Health Care Facility/Professional Facility Modifier AS Low / Median / High Price $69.08 / $69.08 / $69.08	Facility	AS	$69.08	$69.08	$69.08
United Facility/Professional Facility Modifier Low / Median / High Price $2,264.00 / $5,248.00 / $11,200.00	Facility		$2,264.00	$5,248.00	$11,200.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $733.95 / $733.95 / $2,923.49	Facility		$733.95	$733.95	$2,923.49