Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,819.00 / $5,377.35 / $14,175.24	Facility		$1,819.00	$5,377.35	$14,175.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,977.00 / $9,202.00 / $15,596.00	Facility		$4,977.00	$9,202.00	$15,596.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,167.96 / $3,478.50 / $13,477.50	Facility		$2,167.96	$3,478.50	$13,477.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,749.72 / $1,749.72 / $12,209.00	Facility		$1,749.72	$1,749.72	$12,209.00
Cigna Facility/Professional Facility Modifier 62 Low / Median / High Price $1,070.46 / $1,070.46 / $1,070.46	Facility	62	$1,070.46	$1,070.46	$1,070.46
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $171.27 / $171.27 / $171.27	Facility	AS	$171.27	$171.27	$171.27
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $2,474.00 / $4,385.55	Facility		$332.00	$2,474.00	$4,385.55
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,412.40 / $1,412.40 / $1,412.40	Facility		$1,412.40	$1,412.40	$1,412.40
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,533.17 / $13,412.18 / $30,775.70	Facility		$7,533.17	$13,412.18	$30,775.70
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $1,749.72 / $28,802.00	Facility		$597.00	$1,749.72	$28,802.00
MVP Health Care Facility/Professional Facility Modifier 62 Low / Median / High Price $1,070.46 / $1,070.46 / $1,070.46	Facility	62	$1,070.46	$1,070.46	$1,070.46
MVP Health Care Facility/Professional Facility Modifier AS Low / Median / High Price $171.27 / $171.27 / $171.27	Facility	AS	$171.27	$171.27	$171.27
United Facility/Professional Facility Modifier Low / Median / High Price $2,264.00 / $6,344.00 / $16,403.00	Facility		$2,264.00	$6,344.00	$16,403.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,809.82 / $1,809.82 / $3,717.53	Facility		$1,809.82	$1,809.82	$3,717.53