Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,067.71 / $5,845.00 / $17,540.80	Facility		$2,067.71	$5,845.00	$17,540.80
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 $2,436.60 / $3,478.50 / $13,477.50	Facility		$2,436.60	$3,478.50	$13,477.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,765.00 / $1,971.38 / $12,209.00	Facility		$1,765.00	$1,971.38	$12,209.00
Cigna Facility/Professional Facility Modifier 62 Low / Median / High Price $1,205.60 / $1,205.60 / $1,205.60	Facility	62	$1,205.60	$1,205.60	$1,205.60
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $192.90 / $192.90 / $192.90	Facility	AS	$192.90	$192.90	$192.90
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $2,781.00 / $4,928.77	Facility		$332.00	$2,781.00	$4,928.77
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,591.81 / $1,591.81 / $1,591.81	Facility		$1,591.81	$1,591.81	$1,591.81
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,793.64 / $12,265.00 / $20,255.68	Facility		$2,793.64	$12,265.00	$20,255.68
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $1,971.38 / $28,802.00	Facility		$597.00	$1,971.38	$28,802.00
MVP Health Care Facility/Professional Facility Modifier 62 Low / Median / High Price $1,205.60 / $1,205.60 / $1,205.60	Facility	62	$1,205.60	$1,205.60	$1,205.60
MVP Health Care Facility/Professional Facility Modifier AS Low / Median / High Price $192.90 / $192.90 / $192.90	Facility	AS	$192.90	$192.90	$192.90
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 $2,038.15 / $2,038.15 / $4,179.47	Facility		$2,038.15	$2,038.15	$4,179.47