Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $2,818.38 / $7,413.10	Facility		$173.78	$2,818.38	$7,413.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $4,786.30 / $10,232.93	Facility		$2,630.27	$4,786.30	$10,232.93
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $1,258.93 / $4,073.80	Facility		$147.91	$1,258.93	$4,073.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $177.83 / $3,801.89	Facility		$177.83	$177.83	$3,801.89
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $169.82 / $363.08	Facility		$112.20	$169.82	$363.08
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $251.19 / $251.19	Facility		$251.19	$251.19	$251.19
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $1,230.27	Facility		$1,230.27	$1,230.27	$1,230.27
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $50,118.72 / $75,857.76	Facility		$112.20	$50,118.72	$75,857.76
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $3,630.78 / $8,128.31	Facility		$1,698.24	$3,630.78	$8,128.31
Univera Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $151.36 / $660.69	Facility		$85.11	$151.36	$660.69