Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $792.80 / $5,324.00 / $12,051.00	Facility		$792.80	$5,324.00	$12,051.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,248.00 / $5,196.00 / $11,909.00	Facility		$3,248.00	$5,196.00	$11,909.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $879.31 / $2,390.00 / $10,957.50	Facility		$879.31	$2,390.00	$10,957.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $709.00 / $709.00 / $709.00	Facility		$709.00	$709.00	$709.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $70.43 / $70.43 / $70.43	Facility	AS	$70.43	$70.43	$70.43
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $845.00 / $1,732.25	Facility		$332.00	$845.00	$1,732.25
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $587.26 / $587.26 / $587.26	Facility		$587.26	$587.26	$587.26
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,535.68 / $6,122.55 / $8,063.36	Facility		$1,535.68	$6,122.55	$8,063.36
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $709.00 / $15,753.00	Facility		$555.00	$709.00	$15,753.00
MVP Health Care Facility/Professional Facility Modifier AS Low / Median / High Price $70.43 / $70.43 / $70.43	Facility	AS	$70.43	$70.43	$70.43
United Facility/Professional Facility Modifier Low / Median / High Price $2,264.00 / $5,248.00 / $11,200.00	Facility		$2,264.00	$5,248.00	$11,200.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $748.54 / $748.54 / $2,684.84	Facility		$748.54	$748.54	$2,684.84