Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $720.91 / $6,886.00 / $19,014.00	Facility		$720.91	$6,886.00	$19,014.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $7,561.50 / $15,681.48 / $23,311.72	Facility	50	$7,561.50	$15,681.48	$23,311.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,499.00 / $7,264.00 / $13,780.00	Facility		$4,499.00	$7,264.00	$13,780.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $793.61 / $3,478.50 / $13,477.50	Facility		$793.61	$3,478.50	$13,477.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $643.98 / $643.98 / $10,297.11	Facility		$643.98	$643.98	$10,297.11
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $63.83 / $63.83 / $63.83	Facility	AS	$63.83	$63.83	$63.83
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $633.79 / $7,533.00	Facility		$332.00	$633.79	$7,533.00
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $528.16 / $528.16 / $1,395.63	Facility		$528.16	$528.16	$1,395.63
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,398.60 / $7,828.06 / $15,861.64	Facility		$4,398.60	$7,828.06	$15,861.64
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $6,689.17 / $10,785.03 / $19,909.93	Facility	50	$6,689.17	$10,785.03	$19,909.93
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $643.98 / $12,209.00	Facility		$597.00	$643.98	$12,209.00
MVP Health Care Facility/Professional Facility Modifier AS Low / Median / High Price $63.83 / $63.83 / $63.83	Facility	AS	$63.83	$63.83	$63.83
United Facility/Professional Facility Modifier Low / Median / High Price $2,264.00 / $6,344.00 / $14,881.00	Facility		$2,264.00	$6,344.00	$14,881.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $674.57 / $674.57 / $2,075.69	Facility		$674.57	$674.57	$2,075.69