Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $5,248.07 / $11,748.98	Facility		$812.83	$5,248.07	$11,748.98
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,388.44 / $6,918.31 / $15,135.61	Facility	50	$3,388.44	$6,918.31	$15,135.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $5,623.41 / $12,302.69	Facility		$3,311.31	$5,623.41	$12,302.69
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $4,265.80 / $16,595.87	Facility		$831.76	$4,265.80	$16,595.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $2,137.96 / $14,454.40	Facility		$1,000.00	$2,137.96	$14,454.40
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $1,202.26 / $1,202.26 / $1,202.26	Facility	22	$1,202.26	$1,202.26	$1,202.26
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $100.00 / $100.00 / $100.00	Facility	AS	$100.00	$100.00	$100.00
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $831.76 / $2,238.72	Facility		$616.60	$831.76	$2,238.72
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $549.54 / $549.54	Facility		$549.54	$549.54	$549.54
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $6,918.31 / $14,454.40	Facility		$3,715.35	$6,918.31	$14,454.40
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $50,118.72 / $75,857.76	Facility		$616.60	$50,118.72	$75,857.76
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $5,011.87 / $11,748.98	Facility		$2,137.96	$5,011.87	$11,748.98
Univera Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $707.95 / $2,344.23	Facility		$478.63	$707.95	$2,344.23