Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,246.04 / $5,960.00 / $22,762.00	Facility		$1,246.04	$5,960.00	$22,762.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,248.00 / $6,041.00 / $48,679.00	Facility		$3,248.00	$6,041.00	$48,679.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,354.08 / $13,261.00 / $37,499.62	Facility		$1,354.08	$13,261.00	$37,499.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,095.64 / $24,654.00 / $36,587.00	Facility		$1,095.64	$24,654.00	$36,587.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $107.75 / $107.75 / $107.75	Facility	AS	$107.75	$107.75	$107.75
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,158.65 / $30,278.00	Facility		$332.00	$1,158.65	$30,278.00
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $891.27 / $891.27 / $891.27	Facility		$891.27	$891.27	$891.27
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,023.64 / $5,023.64 / $5,023.64	Facility		$5,023.64	$5,023.64	$5,023.64
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $1,095.64 / $15,713.00 / $36,587.00	Facility		$1,095.64	$15,713.00	$36,587.00
MVP Health Care Facility/Professional Facility Modifier AS Low / Median / High Price $107.75 / $107.75 / $107.75	Facility	AS	$107.75	$107.75	$107.75
United Facility/Professional Facility Modifier Low / Median / High Price $2,337.00 / $11,223.00 / $40,496.00	Facility		$2,337.00	$11,223.00	$40,496.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,138.33 / $1,138.33 / $2,889.75	Facility		$1,138.33	$1,138.33	$2,889.75