Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,240.16 / $3,100.00 / $10,170.00	Facility		$1,240.16	$3,100.00	$10,170.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $488.42 / $626.22 / $919.85	Facility	52	$488.42	$626.22	$919.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,283.00 / $4,975.00 / $11,448.00	Facility		$3,283.00	$4,975.00	$11,448.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,470.37 / $1,470.37 / $37,499.62	Facility		$1,470.37	$1,470.37	$37,499.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,187.10 / $1,187.10 / $7,227.90	Facility		$1,187.10	$1,187.10	$7,227.90
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $931.75 / $931.75 / $931.75	Facility	52	$931.75	$931.75	$931.75
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $116.47 / $116.47 / $116.47	Facility	AS	$116.47	$116.47	$116.47
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $801.15 / $2,788.20	Facility		$332.00	$801.15	$2,788.20
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $964.10 / $964.10 / $964.10	Facility		$964.10	$964.10	$964.10
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,285.73 / $3,285.73 / $3,285.73	Facility		$3,285.73	$3,285.73	$3,285.73
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $1,187.10 / $7,227.90	Facility		$597.00	$1,187.10	$7,227.90
MVP Health Care Facility/Professional Facility Modifier 52 Low / Median / High Price $931.75 / $931.75 / $931.75	Facility	52	$931.75	$931.75	$931.75
MVP Health Care Facility/Professional Facility Modifier AS Low / Median / High Price $116.47 / $116.47 / $116.47	Facility	AS	$116.47	$116.47	$116.47
United Facility/Professional Facility Modifier Low / Median / High Price $996.00 / $4,194.00 / $9,020.04	Facility		$996.00	$4,194.00	$9,020.04
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,232.71 / $1,232.71 / $2,772.18	Facility		$1,232.71	$1,232.71	$2,772.18