Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $692.31 / $4,452.00 / $9,299.00	Facility		$692.31	$4,452.00	$9,299.00
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 $793.83 / $1,990.00 / $8,917.50	Facility		$793.83	$1,990.00	$8,917.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $637.63 / $637.63 / $637.63	Facility		$637.63	$637.63	$637.63
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $63.23 / $63.23 / $63.23	Facility	AS	$63.23	$63.23	$63.23
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $857.00 / $1,473.32	Facility		$332.00	$857.00	$1,473.32
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $529.91 / $529.91 / $529.91	Facility		$529.91	$529.91	$529.91
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,740.63 / $2,305.29 / $5,615.78	Facility		$1,740.63	$2,305.29	$5,615.78
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $637.63	Facility		$555.00	$597.00	$637.63
MVP Health Care Facility/Professional Facility Modifier AS Low / Median / High Price $63.23 / $63.23 / $63.23	Facility	AS	$63.23	$63.23	$63.23
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 $676.53 / $676.53 / $2,771.63	Facility		$676.53	$676.53	$2,771.63