Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $306.64 / $3,599.00 / $10,170.00	Facility		$306.64	$3,599.00	$10,170.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $267.45 / $267.45 / $267.45	Facility		$267.45	$267.45	$267.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $260.63 / $260.63 / $260.63	Facility		$260.63	$260.63	$260.63
Cigna Facility/Professional Facility Modifier 62 Low / Median / High Price $159.84 / $159.84 / $159.84	Facility	62	$159.84	$159.84	$159.84
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $25.58 / $25.58 / $25.58	Facility	AS	$25.58	$25.58	$25.58
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $178.15 / $285.06 / $624.78	Facility		$178.15	$285.06	$624.78
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $209.15 / $209.15 / $209.15	Facility		$209.15	$209.15	$209.15
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,374.00 / $1,717.50 / $1,989.00	Facility		$1,374.00	$1,717.50	$1,989.00
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $260.63 / $555.00 / $37,776.00	Facility		$260.63	$555.00	$37,776.00
MVP Health Care Facility/Professional Facility Modifier 62 Low / Median / High Price $159.84 / $159.84 / $159.84	Facility	62	$159.84	$159.84	$159.84
MVP Health Care Facility/Professional Facility Modifier AS Low / Median / High Price $25.58 / $25.58 / $25.58	Facility	AS	$25.58	$25.58	$25.58
United Facility/Professional Facility Modifier Low / Median / High Price $835.00 / $2,826.00 / $4,840.00	Facility		$835.00	$2,826.00	$4,840.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $377.31 / $377.31 / $393.92	Facility		$377.31	$377.31	$393.92