Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $918.25 / $4,442.00 / $10,296.00	Facility		$918.25	$4,442.00	$10,296.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,749.00 / $9,877.00 / $16,490.00	Facility		$4,749.00	$9,877.00	$16,490.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,065.43 / $1,065.43 / $8,917.50	Facility		$1,065.43	$1,065.43	$8,917.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $858.91 / $858.91 / $858.91	Facility		$858.91	$858.91	$858.91
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $85.34 / $85.34 / $85.34	Facility	AS	$85.34	$85.34	$85.34
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,035.00 / $2,023.36	Facility		$332.00	$1,035.00	$2,023.36
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $711.16 / $711.16 / $711.16	Facility		$711.16	$711.16	$711.16
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,668.56 / $4,240.67 / $11,997.33	Facility		$2,668.56	$4,240.67	$11,997.33
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $858.91	Facility		$555.00	$597.00	$858.91
MVP Health Care Facility/Professional Facility Modifier AS Low / Median / High Price $85.34 / $85.34 / $85.34	Facility	AS	$85.34	$85.34	$85.34
United Facility/Professional Facility Modifier Low / Median / High Price $2,341.00 / $6,700.00 / $16,782.00	Facility		$2,341.00	$6,700.00	$16,782.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $906.82 / $906.82 / $3,491.46	Facility		$906.82	$906.82	$3,491.46