Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,722.59 / $5,718.90 / $12,793.00	Facility		$1,722.59	$5,718.90	$12,793.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $726.51 / $890.35 / $1,262.92	Facility	52	$726.51	$890.35	$1,262.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,793.00 / $12,405.00 / $58,963.00	Facility		$4,793.00	$12,405.00	$58,963.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,981.91 / $1,981.91 / $37,499.62	Facility		$1,981.91	$1,981.91	$37,499.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,589.74 / $1,589.74 / $41,647.00	Facility		$1,589.74	$1,589.74	$41,647.00
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $1,259.83 / $1,259.83 / $1,259.83	Facility	52	$1,259.83	$1,259.83	$1,259.83
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $157.47 / $157.47 / $157.47	Facility	AS	$157.47	$157.47	$157.47
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,653.00 / $3,735.50	Facility		$332.00	$1,653.00	$3,735.50
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,312.34 / $1,312.34 / $1,312.34	Facility		$1,312.34	$1,312.34	$1,312.34
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,148.32 / $23,648.26 / $30,930.00	Facility		$4,148.32	$23,648.26	$30,930.00
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,589.74 / $41,647.00	Facility		$555.00	$1,589.74	$41,647.00
MVP Health Care Facility/Professional Facility Modifier 52 Low / Median / High Price $1,259.83 / $1,259.83 / $1,259.83	Facility	52	$1,259.83	$1,259.83	$1,259.83
MVP Health Care Facility/Professional Facility Modifier AS Low / Median / High Price $157.47 / $157.47 / $157.47	Facility	AS	$157.47	$157.47	$157.47
United Facility/Professional Facility Modifier Low / Median / High Price $2,673.00 / $10,504.00 / $34,816.00	Facility		$2,673.00	$10,504.00	$34,816.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,673.67 / $1,673.67 / $6,322.29	Facility		$1,673.67	$1,673.67	$6,322.29