Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,001.39 / $4,827.00 / $11,996.00	Facility		$1,001.39	$4,827.00	$11,996.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,213.98 / $8,976.50 / $24,118.60	Facility	50	$2,213.98	$8,976.50	$24,118.60
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 $1,113.71 / $2,390.00 / $10,957.50	Facility		$1,113.71	$2,390.00	$10,957.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $895.00 / $895.00 / $6,511.02	Facility		$895.00	$895.00	$6,511.02
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $88.96 / $88.96 / $88.96	Facility	AS	$88.96	$88.96	$88.96
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,357.44 / $2,387.40	Facility		$332.00	$1,357.44	$2,387.40
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,583.73 / $8,583.73 / $8,583.73	Facility		$8,583.73	$8,583.73	$8,583.73
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $12,844.73 / $12,844.73 / $19,276.93	Facility	50	$12,844.73	$12,844.73	$19,276.93
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $895.00 / $23,610.00	Facility		$597.00	$895.00	$23,610.00
MVP Health Care Facility/Professional Facility Modifier AS Low / Median / High Price $88.96 / $88.96 / $88.96	Facility	AS	$88.96	$88.96	$88.96
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 $848.63 / $848.63 / $2,689.99	Facility		$848.63	$848.63	$2,689.99