Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $925.55 / $3,783.00 / $9,267.00	Facility		$925.55	$3,783.00	$9,267.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $589.41 / $737.49 / $1,013.26	Facility	54	$589.41	$737.49	$1,013.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,385.00 / $4,133.00 / $9,074.00	Facility		$2,385.00	$4,133.00	$9,074.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,069.65 / $1,716.00 / $6,213.00	Facility		$1,069.65	$1,716.00	$6,213.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $859.66 / $859.66 / $859.66	Facility		$859.66	$859.66	$859.66
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $596.32 / $596.32 / $596.32	Facility	54	$596.32	$596.32	$596.32
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,276.79 / $2,076.80	Facility		$332.00	$1,276.79	$2,076.80
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $709.33 / $709.33 / $709.33	Facility		$709.33	$709.33	$709.33
Excellus BCBS Facility/Professional Facility Modifier 54 Low / Median / High Price $560.37 / $560.37 / $560.37	Facility	54	$560.37	$560.37	$560.37
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,106.18 / $5,106.18 / $5,106.18	Facility		$5,106.18	$5,106.18	$5,106.18
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $859.66	Facility		$555.00	$597.00	$859.66
MVP Health Care Facility/Professional Facility Modifier 54 Low / Median / High Price $596.32 / $596.32 / $596.32	Facility	54	$596.32	$596.32	$596.32
United Facility/Professional Facility Modifier Low / Median / High Price $1,768.00 / $3,930.00 / $8,312.00	Facility		$1,768.00	$3,930.00	$8,312.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $905.26 / $905.26 / $3,582.23	Facility		$905.26	$905.26	$3,582.23
Univera Facility/Professional Facility Modifier 54 Low / Median / High Price $560.37 / $715.16 / $715.16	Facility	54	$560.37	$715.16	$715.16