Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $759.23 / $4,827.00 / $11,996.00	Facility		$759.23	$4,827.00	$11,996.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $6,898.47 / $15,293.39 / $15,293.39	Facility	50	$6,898.47	$15,293.39	$15,293.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,248.00 / $4,838.00 / $11,446.00	Facility		$3,248.00	$4,838.00	$11,446.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $827.86 / $4,275.50 / $16,534.50	Facility		$827.86	$4,275.50	$16,534.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $670.45 / $670.45 / $13,296.25	Facility		$670.45	$670.45	$13,296.25
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $66.25 / $66.25 / $66.25	Facility	AS	$66.25	$66.25	$66.25
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $712.00 / $1,589.56	Facility		$332.00	$712.00	$1,589.56
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $548.37 / $548.37 / $1,522.50	Facility		$548.37	$548.37	$1,522.50
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,676.99 / $4,685.22 / $13,703.21	Facility		$3,676.99	$4,685.22	$13,703.21
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $670.45 / $13,296.25	Facility		$597.00	$670.45	$13,296.25
MVP Health Care Facility/Professional Facility Modifier AS Low / Median / High Price $66.25 / $66.25 / $66.25	Facility	AS	$66.25	$66.25	$66.25
United Facility/Professional Facility Modifier Low / Median / High Price $1,694.00 / $4,893.00 / $12,177.00	Facility		$1,694.00	$4,893.00	$12,177.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $700.39 / $700.39 / $2,368.56	Facility		$700.39	$700.39	$2,368.56