Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $4,677.35 / $10,471.29	Facility		$870.96	$4,677.35	$10,471.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $5,888.44 / $12,302.69	Facility		$3,388.44	$5,888.44	$12,302.69
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,995.26 / $8,912.51	Facility		$933.25	$1,995.26	$8,912.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $50,118.72	Facility		$1,122.02	$1,122.02	$50,118.72
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $112.20 / $112.20 / $112.20	Facility	AS	$112.20	$112.20	$112.20
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $977.24 / $2,454.71	Facility		$707.95	$977.24	$2,454.71
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $630.96 / $630.96	Facility		$630.96	$630.96	$630.96
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $3,090.30 / $8,709.64	Facility		$1,949.84	$3,090.30	$8,709.64
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $50,118.72 / $75,857.76	Facility		$933.25	$50,118.72	$75,857.76
United Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $5,128.61 / $11,481.54	Facility		$2,344.23	$5,128.61	$11,481.54
Univera Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $794.33 / $2,884.03	Facility		$537.03	$794.33	$2,884.03