Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,003.00 / $4,370.39 / $10,475.15	Facility		$1,003.00	$4,370.39	$10,475.15
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 $1,164.33 / $1,990.00 / $8,917.50	Facility		$1,164.33	$1,990.00	$8,917.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $939.63 / $939.63 / $939.63	Facility		$939.63	$939.63	$939.63
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $93.73 / $93.73 / $93.73	Facility	AS	$93.73	$93.73	$93.73
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $637.50 / $2,192.56	Facility		$332.00	$637.50	$2,192.56
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $780.63 / $780.63 / $780.63	Facility		$780.63	$780.63	$780.63
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,740.63 / $1,740.63 / $6,967.00	Facility		$1,740.63	$1,740.63	$6,967.00
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $939.63	Facility		$555.00	$597.00	$939.63
MVP Health Care Facility/Professional Facility Modifier AS Low / Median / High Price $93.73 / $93.73 / $93.73	Facility	AS	$93.73	$93.73	$93.73
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 $999.44 / $999.44 / $2,987.83	Facility		$999.44	$999.44	$2,987.83