Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $116.98 / $2,792.00 / $7,185.00	Facility		$116.98	$2,792.00	$7,185.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $67.38 / $96.76 / $141.33	Facility	54	$67.38	$96.76	$141.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $3,373.00 / $4,707.00	Facility		$1,689.00	$3,373.00	$4,707.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $130.04 / $130.04 / $4,050.00	Facility		$130.04	$130.04	$4,050.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $160.71 / $160.71 / $14,648.00	Facility		$160.71	$160.71	$14,648.00
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $112.50 / $112.50 / $112.50	Facility	54	$112.50	$112.50	$112.50
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $45.00 / $115.97 / $332.00	Facility		$45.00	$115.97	$332.00
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $119.91 / $119.91 / $119.91	Facility		$119.91	$119.91	$119.91
Excellus BCBS Facility/Professional Facility Modifier 54 Low / Median / High Price $107.92 / $107.92 / $107.92	Facility	54	$107.92	$107.92	$107.92
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $135.19 / $135.19 / $250.05	Facility		$135.19	$135.19	$250.05
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $160.71 / $555.00 / $597.00	Facility		$160.71	$555.00	$597.00
MVP Health Care Facility/Professional Facility Modifier 54 Low / Median / High Price $112.50 / $112.50 / $112.50	Facility	54	$112.50	$112.50	$112.50
United Facility/Professional Facility Modifier Low / Median / High Price $964.00 / $2,826.00 / $4,851.00	Facility		$964.00	$2,826.00	$4,851.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $114.27 / $114.27 / $380.65	Facility		$114.27	$114.27	$380.65
Univera Facility/Professional Facility Modifier 54 Low / Median / High Price $102.85 / $102.85 / $107.92	Facility	54	$102.85	$102.85	$107.92