Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $261.08 / $3,599.00 / $9,868.00	Facility		$261.08	$3,599.00	$9,868.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $93.48 / $130.29 / $185.51	Facility	52	$93.48	$130.29	$185.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,100.00 / $7,264.00 / $12,274.00	Facility		$4,100.00	$7,264.00	$12,274.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $299.94 / $299.94 / $37,499.62	Facility		$299.94	$299.94	$37,499.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $242.77 / $242.77 / $7,227.90	Facility		$242.77	$242.77	$7,227.90
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $188.19 / $188.19 / $188.19	Facility	52	$188.19	$188.19	$188.19
Cigna Facility/Professional Facility Modifier 62 Low / Median / High Price $147.03 / $147.03 / $147.03	Facility	62	$147.03	$147.03	$147.03
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $23.52 / $23.52 / $23.52	Facility	AS	$23.52	$23.52	$23.52
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $180.00 / $282.00 / $562.86	Facility		$180.00	$282.00	$562.86
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,266.93 / $3,266.93 / $12,376.00	Facility		$3,266.93	$3,266.93	$12,376.00
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $242.77 / $555.00 / $7,227.90	Facility		$242.77	$555.00	$7,227.90
MVP Health Care Facility/Professional Facility Modifier 52 Low / Median / High Price $188.19 / $188.19 / $188.19	Facility	52	$188.19	$188.19	$188.19
MVP Health Care Facility/Professional Facility Modifier 62 Low / Median / High Price $147.03 / $147.03 / $147.03	Facility	62	$147.03	$147.03	$147.03
MVP Health Care Facility/Professional Facility Modifier AS Low / Median / High Price $23.52 / $23.52 / $23.52	Facility	AS	$23.52	$23.52	$23.52
United Facility/Professional Facility Modifier Low / Median / High Price $1,749.00 / $4,194.00 / $9,300.00	Facility		$1,749.00	$4,194.00	$9,300.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $224.96 / $224.96 / $463.76	Facility		$224.96	$224.96	$463.76