Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $513.63 / $4,796.00 / $10,170.00	Facility		$513.63	$4,796.00	$10,170.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,285.96 / $4,380.81 / $9,969.75	Facility	50	$1,285.96	$4,380.81	$9,969.75
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $99.92 / $581.58 / $848.75	Professional	50	$99.92	$581.58	$848.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,393.00 / $4,120.00 / $8,836.00	Facility		$2,393.00	$4,120.00	$8,836.00
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $447.80 / $577.05 / $1,461.52	Professional	50	$447.80	$577.05	$1,461.52
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $589.45 / $1,990.00 / $8,917.50	Facility		$589.45	$1,990.00	$8,917.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $469.75 / $469.75 / $5,246.94	Facility		$469.75	$469.75	$5,246.94
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $332.00 / $1,085.22	Facility		$80.00	$332.00	$1,085.22
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $3,571.47 / $6,398.67 / $8,397.95	Facility	50	$3,571.47	$6,398.67	$8,397.95
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $469.75 / $555.00 / $5,246.94	Facility		$469.75	$555.00	$5,246.94
United Facility/Professional Facility Modifier Low / Median / High Price $2,031.00 / $4,840.00 / $9,202.00	Facility		$2,031.00	$4,840.00	$9,202.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $452.87 / $452.87 / $1,177.44	Facility		$452.87	$452.87	$1,177.44