Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $296.17 / $3,575.03 / $10,170.00	Facility		$296.17	$3,575.03	$10,170.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $113.13 / $135.35 / $191.88	Facility	52	$113.13	$135.35	$191.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,070.00 / $6,992.00 / $12,173.00	Facility		$4,070.00	$6,992.00	$12,173.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $306.17 / $1,716.00 / $8,917.50	Facility		$306.17	$1,716.00	$8,917.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $244.91 / $1,765.00 / $39,142.00	Facility		$244.91	$1,765.00	$39,142.00
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $191.49 / $191.49 / $191.49	Facility	52	$191.49	$191.49	$191.49
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $232.00 / $319.00 / $550.85	Facility		$232.00	$319.00	$550.85
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $200.50 / $200.50 / $862.75	Facility		$200.50	$200.50	$862.75
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,072.54 / $6,072.54 / $6,072.54	Facility		$6,072.54	$6,072.54	$6,072.54
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $244.91 / $2,378.00 / $39,142.00	Facility		$244.91	$2,378.00	$39,142.00
MVP Health Care Facility/Professional Facility Modifier 52 Low / Median / High Price $191.49 / $191.49 / $191.49	Facility	52	$191.49	$191.49	$191.49
United Facility/Professional Facility Modifier Low / Median / High Price $1,693.00 / $4,893.00 / $11,098.00	Facility		$1,693.00	$4,893.00	$11,098.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $257.13 / $257.13 / $547.10	Facility		$257.13	$257.13	$547.10