Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $798.95 / $3,245.04 / $8,585.12	Facility		$798.95	$3,245.04	$8,585.12
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 $919.45 / $1,716.00 / $6,213.00	Facility		$919.45	$1,716.00	$6,213.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $740.17 / $740.17 / $740.17	Facility		$740.17	$740.17	$740.17
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $73.45 / $73.45 / $73.45	Facility	AS	$73.45	$73.45	$73.45
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $900.00 / $1,845.00	Facility		$332.00	$900.00	$1,845.00
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $615.35 / $615.35 / $615.35	Facility		$615.35	$615.35	$615.35
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,814.50 / $2,345.29 / $21,570.15	Facility		$1,814.50	$2,345.29	$21,570.15
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $740.17 / $15,753.00	Facility		$555.00	$740.17	$15,753.00
MVP Health Care Facility/Professional Facility Modifier AS Low / Median / High Price $73.45 / $73.45 / $73.45	Facility	AS	$73.45	$73.45	$73.45
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 $784.46 / $784.46 / $3,175.43	Facility		$784.46	$784.46	$3,175.43