Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,115.23 / $5,630.00 / $13,407.00	Facility		$1,115.23	$5,630.00	$13,407.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,977.00 / $9,901.00 / $18,247.00	Facility		$4,977.00	$9,901.00	$18,247.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,188.33 / $2,644.00 / $12,319.50	Facility		$1,188.33	$2,644.00	$12,319.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $957.12 / $957.12 / $41,647.00	Facility		$957.12	$957.12	$41,647.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $95.07 / $95.07 / $95.07	Facility	AS	$95.07	$95.07	$95.07
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,193.00 / $4,843.58	Facility		$332.00	$1,193.00	$4,843.58
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $792.67 / $792.67 / $792.67	Facility		$792.67	$792.67	$792.67
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,787.96 / $2,787.96 / $21,460.06	Facility		$2,787.96	$2,787.96	$21,460.06
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $957.12 / $54,793.00	Facility		$555.00	$957.12	$54,793.00
MVP Health Care Facility/Professional Facility Modifier AS Low / Median / High Price $95.07 / $95.07 / $95.07	Facility	AS	$95.07	$95.07	$95.07
United Facility/Professional Facility Modifier Low / Median / High Price $2,341.00 / $6,700.00 / $19,689.00	Facility		$2,341.00	$6,700.00	$19,689.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,010.40 / $1,010.40 / $3,798.28	Facility		$1,010.40	$1,010.40	$3,798.28