Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,210.00 / $4,629.00 / $10,965.00	Facility		$1,210.00	$4,629.00	$10,965.00
Aetna Facility/Professional Facility Modifier 22 Low / Median / High Price $12,803.69 / $12,803.69 / $12,803.69	Facility	22	$12,803.69	$12,803.69	$12,803.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,977.00 / $9,808.00 / $16,411.00	Facility		$4,977.00	$9,808.00	$16,411.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,409.68 / $2,390.00 / $10,957.50	Facility		$1,409.68	$2,390.00	$10,957.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,130.74 / $1,130.74 / $1,130.74	Facility		$1,130.74	$1,130.74	$1,130.74
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $112.33 / $112.33 / $112.33	Facility	AS	$112.33	$112.33	$112.33
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,611.00 / $2,663.26	Facility		$332.00	$1,611.00	$2,663.26
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $936.22 / $936.22 / $936.22	Facility		$936.22	$936.22	$936.22
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,226.00 / $5,024.74 / $18,480.00	Facility		$2,226.00	$5,024.74	$18,480.00
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $1,130.74	Facility		$555.00	$597.00	$1,130.74
MVP Health Care Facility/Professional Facility Modifier AS Low / Median / High Price $112.33 / $112.33 / $112.33	Facility	AS	$112.33	$112.33	$112.33
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 $1,193.86 / $1,193.86 / $4,628.32	Facility		$1,193.86	$1,193.86	$4,628.32