Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $6,760.83 / $24,547.09	Facility		$1,949.84	$6,760.83	$24,547.09
Aetna Facility/Professional Facility Modifier 22 Low / Median / High Price $10,000.00 / $10,000.00 / $10,000.00	Facility	22	$10,000.00	$10,000.00	$10,000.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $12,022.64 / $33,884.42	Facility		$4,897.79	$12,022.64	$33,884.42
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $3,467.37 / $13,489.63	Facility		$2,089.30	$3,467.37	$13,489.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $2,570.40 / $50,118.72	Facility		$34.67	$2,570.40	$50,118.72
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $3,019.95 / $3,019.95 / $3,019.95	Facility	22	$3,019.95	$3,019.95	$3,019.95
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $257.04 / $257.04 / $257.04	Facility	AS	$257.04	$257.04	$257.04
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $3,311.31 / $5,754.40	Facility		$1,698.24	$3,311.31	$5,754.40
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,380.38 / $1,380.38	Facility		$1,380.38	$1,380.38	$1,380.38
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,022.64 / $12,022.64 / $19,054.61	Facility		$12,022.64	$12,022.64	$19,054.61
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $50,118.72 / $75,857.76	Facility		$1,513.56	$50,118.72	$75,857.76
United Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $6,918.31 / $17,782.79	Facility		$2,454.71	$6,918.31	$17,782.79
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $2,511.89 / $6,606.93	Facility		$1,202.26	$2,511.89	$6,606.93