Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,602.52 / $5,845.00 / $24,641.84	Facility		$1,602.52	$5,845.00	$24,641.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,793.00 / $10,734.00 / $31,393.00	Facility		$4,793.00	$10,734.00	$31,393.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,795.90 / $5,511.50 / $16,534.50	Facility		$1,795.90	$5,511.50	$16,534.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,470.67 / $1,470.67 / $1,470.67	Facility		$1,470.67	$1,470.67	$1,470.67
Cigna Facility/Professional Facility Modifier 62 Low / Median / High Price $913.41 / $913.41 / $913.41	Facility	62	$913.41	$913.41	$913.41
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $146.15 / $146.15 / $146.15	Facility	AS	$146.15	$146.15	$146.15
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $2,508.89 / $15,064.00	Facility		$332.00	$2,508.89	$15,064.00
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,194.71 / $1,194.71 / $1,194.71	Facility		$1,194.71	$1,194.71	$1,194.71
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,044.91 / $3,893.58 / $9,719.78	Facility		$1,044.91	$3,893.58	$9,719.78
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,470.67 / $37,776.00	Facility		$555.00	$1,470.67	$37,776.00
MVP Health Care Facility/Professional Facility Modifier 62 Low / Median / High Price $913.41 / $913.41 / $913.41	Facility	62	$913.41	$913.41	$913.41
MVP Health Care Facility/Professional Facility Modifier AS Low / Median / High Price $146.15 / $146.15 / $146.15	Facility	AS	$146.15	$146.15	$146.15
United Facility/Professional Facility Modifier Low / Median / High Price $2,337.00 / $6,700.00 / $16,782.00	Facility		$2,337.00	$6,700.00	$16,782.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,151.46 / $2,151.46 / $5,347.77	Facility		$2,151.46	$2,151.46	$5,347.77