Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $319.67 / $3,457.00 / $9,254.95	Facility		$319.67	$3,457.00	$9,254.95
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $120.56 / $140.93 / $207.19	Facility	52	$120.56	$140.93	$207.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,373.00 / $3,699.00 / $8,281.00	Facility		$2,373.00	$3,699.00	$8,281.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $327.55 / $1,716.00 / $6,213.00	Facility		$327.55	$1,716.00	$6,213.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $260.75 / $260.75 / $4,612.43	Facility		$260.75	$260.75	$4,612.43
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $204.01 / $204.01 / $204.01	Facility	52	$204.01	$204.01	$204.01
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $260.39 / $332.00 / $666.25	Facility		$260.39	$332.00	$666.25
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $214.55 / $214.55 / $639.45	Facility		$214.55	$214.55	$639.45
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,982.31 / $3,490.00 / $5,612.31	Facility		$1,982.31	$3,490.00	$5,612.31
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $260.75 / $1,409.00 / $5,855.00	Facility		$260.75	$1,409.00	$5,855.00
MVP Health Care Facility/Professional Facility Modifier 52 Low / Median / High Price $204.01 / $204.01 / $204.01	Facility	52	$204.01	$204.01	$204.01
United Facility/Professional Facility Modifier Low / Median / High Price $1,269.00 / $3,612.00 / $8,133.00	Facility		$1,269.00	$3,612.00	$8,133.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $274.58 / $274.58 / $1,161.86	Facility		$274.58	$274.58	$1,161.86