Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $3,162.28 / $8,511.38	Facility		$645.65	$3,162.28	$8,511.38
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $851.14 / $2,344.23 / $9,772.37	Facility	50	$851.14	$2,344.23	$9,772.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $9,772.37 / $18,620.87	Facility		$4,570.88	$9,772.37	$18,620.87
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $1,995.26 / $8,912.51	Facility		$524.81	$1,995.26	$8,912.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $17,378.01 / $20,892.96	Facility		$645.65	$17,378.01	$20,892.96
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $776.25 / $776.25 / $776.25	Facility	22	$776.25	$776.25	$776.25
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $645.65 / $2,511.89	Facility		$371.54	$645.65	$2,511.89
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $2,951.21 / $13,489.63	Facility		$2,818.38	$2,951.21	$13,489.63
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $1,949.84 / $4,365.16 / $23,442.29	Facility	50	$1,949.84	$4,365.16	$23,442.29
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $50,118.72 / $75,857.76	Facility		$549.54	$50,118.72	$75,857.76
United Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $5,128.61 / $12,882.50	Facility		$2,398.83	$5,128.61	$12,882.50
Univera Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $407.38 / $1,905.46	Facility		$309.03	$407.38	$1,905.46