Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $827.61 / $6,217.12 / $29,607.77	Facility		$827.61	$6,217.12	$29,607.77
Aetna Facility/Professional Facility Modifier 22 Low / Median / High Price $5,875.07 / $5,875.07 / $5,875.07	Facility	22	$5,875.07	$5,875.07	$5,875.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,527.00 / $7,688.00 / $27,937.00	Facility		$4,527.00	$7,688.00	$27,937.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $849.34 / $2,390.00 / $10,957.50	Facility		$849.34	$2,390.00	$10,957.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $686.68 / $18,510.00 / $22,301.00	Facility		$686.68	$18,510.00	$22,301.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $67.78 / $67.78 / $67.78	Facility	AS	$67.78	$67.78	$67.78
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $658.90 / $11,153.00	Facility		$332.00	$658.90	$11,153.00
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $560.82 / $560.82 / $862.75	Facility		$560.82	$560.82	$862.75
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,509.73 / $7,657.64 / $14,904.25	Facility		$3,509.73	$7,657.64	$14,904.25
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $686.68 / $6,511.02 / $22,301.00	Facility		$686.68	$6,511.02	$22,301.00
MVP Health Care Facility/Professional Facility Modifier AS Low / Median / High Price $67.78 / $67.78 / $67.78	Facility	AS	$67.78	$67.78	$67.78
United Facility/Professional Facility Modifier Low / Median / High Price $2,264.00 / $6,344.00 / $20,070.00	Facility		$2,264.00	$6,344.00	$20,070.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $716.80 / $716.80 / $2,156.78	Facility		$716.80	$716.80	$2,156.78