Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,184.09 / $5,298.00 / $11,550.00	Facility		$1,184.09	$5,298.00	$11,550.00
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 $1,381.74 / $1,990.00 / $8,917.50	Facility		$1,381.74	$1,990.00	$8,917.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,104.88 / $1,104.88 / $1,104.88	Facility		$1,104.88	$1,104.88	$1,104.88
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $109.68 / $109.68 / $109.68	Facility	AS	$109.68	$109.68	$109.68
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,457.00 / $2,986.85	Facility		$332.00	$1,457.00	$2,986.85
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $913.05 / $913.05 / $913.05	Facility		$913.05	$913.05	$913.05
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,370.01 / $7,250.58 / $13,125.61	Facility		$1,370.01	$7,250.58	$13,125.61
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,104.88 / $15,753.00	Facility		$555.00	$1,104.88	$15,753.00
MVP Health Care Facility/Professional Facility Modifier AS Low / Median / High Price $109.68 / $109.68 / $109.68	Facility	AS	$109.68	$109.68	$109.68
United Facility/Professional Facility Modifier Low / Median / High Price $2,705.00 / $6,344.00 / $14,287.46	Facility		$2,705.00	$6,344.00	$14,287.46
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,167.05 / $1,167.05 / $4,639.39	Facility		$1,167.05	$1,167.05	$4,639.39