Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $895.83 / $5,457.00 / $11,396.00	Facility		$895.83	$5,457.00	$11,396.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,248.00 / $6,758.00 / $14,530.00	Facility		$3,248.00	$6,758.00	$14,530.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $933.79 / $1,990.00 / $8,917.50	Facility		$933.79	$1,990.00	$8,917.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $749.93 / $22,827.00 / $27,502.00	Facility		$749.93	$22,827.00	$27,502.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $74.34 / $74.34 / $74.34	Facility	AS	$74.34	$74.34	$74.34
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,140.00 / $4,709.60	Facility		$332.00	$1,140.00	$4,709.60
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $624.07 / $624.07 / $624.07	Facility		$624.07	$624.07	$624.07
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,812.12 / $4,718.78 / $14,151.09	Facility		$1,812.12	$4,718.78	$14,151.09
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $749.93 / $27,502.00	Facility		$555.00	$749.93	$27,502.00
MVP Health Care Facility/Professional Facility Modifier AS Low / Median / High Price $74.34 / $74.34 / $74.34	Facility	AS	$74.34	$74.34	$74.34
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 $794.01 / $794.01 / $2,551.77	Facility		$794.01	$794.01	$2,551.77