Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.40 / $4,072.50 / $10,140.00	Facility		$1,202.40	$4,072.50	$10,140.00
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 $1,443.35 / $3,183.00 / $13,009.50	Facility		$1,443.35	$3,183.00	$13,009.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,154.44 / $1,154.44 / $1,154.44	Facility		$1,154.44	$1,154.44	$1,154.44
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $114.57 / $114.57 / $114.57	Facility	AS	$114.57	$114.57	$114.57
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,142.40 / $2,698.74	Facility		$332.00	$1,142.40	$2,698.74
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $952.00 / $952.00 / $952.00	Facility		$952.00	$952.00	$952.00
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,878.00 / $6,105.76 / $15,495.82	Facility		$2,878.00	$6,105.76	$15,495.82
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $1,154.44	Facility		$555.00	$597.00	$1,154.44
MVP Health Care Facility/Professional Facility Modifier AS Low / Median / High Price $114.57 / $114.57 / $114.57	Facility	AS	$114.57	$114.57	$114.57
United Facility/Professional Facility Modifier Low / Median / High Price $2,341.00 / $6,700.00 / $16,782.00	Facility		$2,341.00	$6,700.00	$16,782.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,218.82 / $1,218.82 / $3,093.44	Facility		$1,218.82	$1,218.82	$3,093.44