Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,251.25 / $5,069.00 / $11,996.00	Facility		$1,251.25	$5,069.00	$11,996.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,283.00 / $5,434.00 / $12,168.00	Facility		$3,283.00	$5,434.00	$12,168.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,366.26 / $1,366.26 / $37,499.62	Facility		$1,366.26	$1,366.26	$37,499.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,094.72 / $1,094.72 / $1,094.72	Facility		$1,094.72	$1,094.72	$1,094.72
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $108.42 / $108.42 / $108.42	Facility	AS	$108.42	$108.42	$108.42
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,625.89 / $2,776.00	Facility		$332.00	$1,625.89	$2,776.00
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $903.27 / $903.27 / $903.27	Facility		$903.27	$903.27	$903.27
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,749.64 / $2,749.64 / $2,749.64	Facility		$2,749.64	$2,749.64	$2,749.64
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $1,094.72	Facility		$555.00	$597.00	$1,094.72
MVP Health Care Facility/Professional Facility Modifier AS Low / Median / High Price $108.42 / $108.42 / $108.42	Facility	AS	$108.42	$108.42	$108.42
United Facility/Professional Facility Modifier Low / Median / High Price $2,264.00 / $5,963.00 / $14,457.00	Facility		$2,264.00	$5,963.00	$14,457.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,152.46 / $1,152.46 / $5,885.78	Facility		$1,152.46	$1,152.46	$5,885.78