Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $764.63 / $5,296.12 / $11,220.00	Facility		$764.63	$5,296.12	$11,220.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $13,972.50 / $13,972.50 / $13,972.50	Facility	50	$13,972.50	$13,972.50	$13,972.50
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 $892.86 / $3,478.50 / $13,477.50	Facility		$892.86	$3,478.50	$13,477.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $723.23 / $723.23 / $10,297.11	Facility		$723.23	$723.23	$10,297.11
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $71.36 / $71.36 / $71.36	Facility	AS	$71.36	$71.36	$71.36
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $684.00 / $1,711.91	Facility		$332.00	$684.00	$1,711.91
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $589.91 / $589.91 / $1,395.63	Facility		$589.91	$589.91	$1,395.63
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,207.82 / $5,924.73 / $8,306.34	Facility		$2,207.82	$5,924.73	$8,306.34
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $10,000.94 / $10,000.94 / $11,819.36	Facility	50	$10,000.94	$10,000.94	$11,819.36
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $723.23 / $10,297.11	Facility		$597.00	$723.23	$10,297.11
MVP Health Care Facility/Professional Facility Modifier AS Low / Median / High Price $71.36 / $71.36 / $71.36	Facility	AS	$71.36	$71.36	$71.36
United Facility/Professional Facility Modifier Low / Median / High Price $2,063.00 / $5,191.00 / $11,200.00	Facility		$2,063.00	$5,191.00	$11,200.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $754.14 / $754.14 / $2,376.46	Facility		$754.14	$754.14	$2,376.46