Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,548.00 / $3,611.00 / $9,868.00	Facility		$1,548.00	$3,611.00	$9,868.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,574.00 / $7,688.00 / $14,242.23	Facility		$4,574.00	$7,688.00	$14,242.23
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,951.62 / $1,951.62 / $37,499.62	Facility		$1,951.62	$1,951.62	$37,499.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,576.22 / $1,576.22 / $7,227.90	Facility		$1,576.22	$1,576.22	$7,227.90
Cigna Facility/Professional Facility Modifier 62 Low / Median / High Price $962.11 / $962.11 / $962.11	Facility	62	$962.11	$962.11	$962.11
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $153.94 / $153.94 / $153.94	Facility	AS	$153.94	$153.94	$153.94
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,517.00 / $3,687.05	Facility		$319.00	$1,517.00	$3,687.05
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,266.93 / $3,266.93 / $3,266.93	Facility		$3,266.93	$3,266.93	$3,266.93
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $1,576.22 / $8,498.00	Facility		$597.00	$1,576.22	$8,498.00
MVP Health Care Facility/Professional Facility Modifier 62 Low / Median / High Price $962.11 / $962.11 / $962.11	Facility	62	$962.11	$962.11	$962.11
MVP Health Care Facility/Professional Facility Modifier AS Low / Median / High Price $153.94 / $153.94 / $153.94	Facility	AS	$153.94	$153.94	$153.94
United Facility/Professional Facility Modifier Low / Median / High Price $1,479.00 / $3,988.00 / $8,133.00	Facility		$1,479.00	$3,988.00	$8,133.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,473.20 / $1,473.20 / $4,294.28	Facility		$1,473.20	$1,473.20	$4,294.28