Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $531.84 / $5,417.00 / $11,609.00	Facility		$531.84	$5,417.00	$11,609.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,552.27 / $9,133.75 / $12,794.99	Facility	50	$2,552.27	$9,133.75	$12,794.99
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $360.03 / $711.95 / $2,744.55	Professional	50	$360.03	$711.95	$2,744.55
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $445.03 / $445.03 / $595.37	Professional	50	$445.03	$445.03	$595.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,079.00 / $7,264.00 / $12,538.00	Facility		$4,079.00	$7,264.00	$12,538.00
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $2,020.52 / $2,665.97 / $7,151.76	Professional	50	$2,020.52	$2,665.97	$7,151.76
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $501.33 / $501.33 / $12,319.50	Facility		$501.33	$501.33	$12,319.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $626.15 / $626.15 / $7,227.90	Facility		$626.15	$626.15	$7,227.90
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $492.00 / $1,002.65	Facility		$332.00	$492.00	$1,002.65
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,362.04 / $5,646.88 / $19,175.97	Facility		$4,362.04	$5,646.88	$19,175.97
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $2,877.59 / $8,707.46 / $22,584.92	Facility	50	$2,877.59	$8,707.46	$22,584.92
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $626.15 / $626.15	Facility		$555.00	$626.15	$626.15
United Facility/Professional Facility Modifier Low / Median / High Price $2,444.00 / $7,772.00 / $17,108.00	Facility		$2,444.00	$7,772.00	$17,108.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $454.98 / $454.98 / $745.30	Facility		$454.98	$454.98	$745.30