Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,242.00 / $5,710.00 / $13,585.00	Facility		$1,242.00	$5,710.00	$13,585.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,263.00 / $5,204.00 / $12,227.00	Facility		$3,263.00	$5,204.00	$12,227.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,362.32 / $1,362.32 / $37,499.62	Facility		$1,362.32	$1,362.32	$37,499.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,091.96 / $1,091.96 / $1,091.96	Facility		$1,091.96	$1,091.96	$1,091.96
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $108.27 / $108.27 / $108.27	Facility	AS	$108.27	$108.27	$108.27
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,452.00 / $2,546.55	Facility		$332.00	$1,452.00	$2,546.55
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $903.11 / $903.11 / $903.11	Facility		$903.11	$903.11	$903.11
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,610.94 / $4,304.46 / $6,961.50	Facility		$2,610.94	$4,304.46	$6,961.50
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $54,793.00	Facility		$555.00	$597.00	$54,793.00
MVP Health Care Facility/Professional Facility Modifier AS Low / Median / High Price $108.27 / $108.27 / $108.27	Facility	AS	$108.27	$108.27	$108.27
United Facility/Professional Facility Modifier Low / Median / High Price $2,341.00 / $6,700.00 / $20,722.00	Facility		$2,341.00	$6,700.00	$20,722.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,153.48 / $1,153.48 / $4,635.97	Facility		$1,153.48	$1,153.48	$4,635.97