Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,245.90 / $5,919.00 / $12,511.00	Facility		$1,245.90	$5,919.00	$12,511.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $4,774.39 / $8,595.40 / $10,960.50	Facility	50	$4,774.39	$8,595.40	$10,960.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,583.00 / $9,198.00 / $21,481.00	Facility		$4,583.00	$9,198.00	$21,481.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,349.83 / $2,390.00 / $10,957.50	Facility		$1,349.83	$2,390.00	$10,957.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,090.83 / $1,090.83 / $6,511.02	Facility		$1,090.83	$1,090.83	$6,511.02
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $107.67 / $107.67 / $107.67	Facility	AS	$107.67	$107.67	$107.67
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,136.00 / $2,585.00	Facility		$332.00	$1,136.00	$2,585.00
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,565.66 / $5,028.03 / $19,263.75	Facility		$2,565.66	$5,028.03	$19,263.75
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $3,764.43 / $8,575.39 / $19,272.53	Facility	50	$3,764.43	$8,575.39	$19,272.53
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $1,090.83 / $23,610.00	Facility		$597.00	$1,090.83	$23,610.00
MVP Health Care Facility/Professional Facility Modifier AS Low / Median / High Price $107.67 / $107.67 / $107.67	Facility	AS	$107.67	$107.67	$107.67
United Facility/Professional Facility Modifier Low / Median / High Price $2,264.00 / $5,735.00 / $12,177.00	Facility		$2,264.00	$5,735.00	$12,177.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,021.02 / $1,021.02 / $2,557.00	Facility		$1,021.02	$1,021.02	$2,557.00