Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $439.33 / $3,917.00 / $10,686.00	Facility		$439.33	$3,917.00	$10,686.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,258.00 / $9,594.00 / $18,938.91	Facility	50	$1,258.00	$9,594.00	$18,938.91
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $405.30 / $898.21 / $3,570.00	Professional	50	$405.30	$898.21	$3,570.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,393.00 / $4,142.00 / $9,074.00	Facility		$2,393.00	$4,142.00	$9,074.00
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $472.58 / $601.04 / $1,375.15	Professional	50	$472.58	$601.04	$1,375.15
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $558.58 / $1,990.00 / $8,917.50	Facility		$558.58	$1,990.00	$8,917.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $658.66 / $658.66 / $658.66	Facility		$658.66	$658.66	$658.66
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $278.00 / $421.24 / $1,024.65	Facility		$278.00	$421.24	$1,024.65
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $4,600.53 / $4,600.53 / $5,441.14	Facility	50	$4,600.53	$4,600.53	$5,441.14
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $658.66 / $74,999.25	Facility		$555.00	$658.66	$74,999.25
United Facility/Professional Facility Modifier Low / Median / High Price $1,764.00 / $3,961.00 / $8,312.00	Facility		$1,764.00	$3,961.00	$8,312.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $429.30 / $429.30 / $1,269.32	Facility		$429.30	$429.30	$1,269.32