Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $5,888.44 / $23,988.33	Facility		$2,041.74	$5,888.44	$23,988.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,248.07 / $11,481.54 / $52,480.75	Facility		$5,248.07	$11,481.54	$52,480.75
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $2,454.71 / $37,153.52	Facility		$2,454.71	$2,454.71	$37,153.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $25,118.86 / $38,904.51	Facility		$2,951.21	$25,118.86	$38,904.51
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $3,548.13 / $3,548.13 / $3,548.13	Facility	22	$3,548.13	$3,548.13	$3,548.13
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $295.12 / $295.12 / $295.12	Facility	AS	$295.12	$295.12	$295.12
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $2,754.23 / $17,782.79	Facility		$1,995.26	$2,754.23	$17,782.79
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $1,621.81	Facility		$1,621.81	$1,621.81	$1,621.81
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,025.60 / $9,549.93 / $17,782.79	Facility		$6,025.60	$9,549.93	$17,782.79
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $50,118.72 / $75,857.76	Facility		$1,698.24	$50,118.72	$75,857.76
United Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $10,000.00 / $38,904.51	Facility		$2,398.83	$10,000.00	$38,904.51
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $2,041.74 / $5,888.44	Facility		$1,380.38	$2,041.74	$5,888.44