Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,575.90 / $5,960.00 / $11,880.00	Facility		$1,575.90	$5,960.00	$11,880.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,864.63 / $7,527.72 / $14,467.87	Facility	50	$2,864.63	$7,527.72	$14,467.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,989.00 / $9,720.00 / $23,148.00	Facility		$4,989.00	$9,720.00	$23,148.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,638.97 / $2,644.00 / $12,319.50	Facility		$1,638.97	$2,644.00	$12,319.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,311.62 / $1,311.62 / $7,289.38	Facility		$1,311.62	$1,311.62	$7,289.38
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $130.15 / $130.15 / $130.15	Facility	AS	$130.15	$130.15	$130.15
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,700.00 / $3,075.95	Facility		$332.00	$1,700.00	$3,075.95
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,771.33 / $18,136.41 / $56,039.45	Facility		$2,771.33	$18,136.41	$56,039.45
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $2,563.31 / $17,958.73 / $56,013.10	Facility	50	$2,563.31	$17,958.73	$56,013.10
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $1,311.62 / $23,610.00	Facility		$597.00	$1,311.62	$23,610.00
MVP Health Care Facility/Professional Facility Modifier AS Low / Median / High Price $130.15 / $130.15 / $130.15	Facility	AS	$130.15	$130.15	$130.15
United Facility/Professional Facility Modifier Low / Median / High Price $2,444.00 / $6,762.00 / $32,490.00	Facility		$2,444.00	$6,762.00	$32,490.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,242.25 / $1,242.25 / $4,962.89	Facility		$1,242.25	$1,242.25	$4,962.89