Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $161.03 / $2,505.05 / $7,185.00	Facility		$161.03	$2,505.05	$7,185.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $813.46 / $3,653.50 / $9,969.75	Facility	50	$813.46	$3,653.50	$9,969.75
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $98.88 / $234.36 / $880.74	Professional	50	$98.88	$234.36	$880.74
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $145.76 / $145.76 / $145.76	Professional	50	$145.76	$145.76	$145.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,263.00 / $5,196.00 / $11,909.00	Facility		$3,263.00	$5,196.00	$11,909.00
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $316.49 / $393.02 / $931.58	Professional	50	$316.49	$393.02	$931.58
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $163.66 / $163.66 / $10,957.50	Facility		$163.66	$163.66	$10,957.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $205.09 / $205.09 / $7,227.90	Facility		$205.09	$205.09	$7,227.90
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $129.00 / $197.71 / $332.00	Facility		$129.00	$197.71	$332.00
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $2,857.69 / $2,857.69 / $2,857.69	Facility	50	$2,857.69	$2,857.69	$2,857.69
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $205.09 / $205.09 / $597.00	Facility		$205.09	$205.09	$597.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,079.00 / $2,884.00 / $4,840.00	Facility		$1,079.00	$2,884.00	$4,840.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $149.08 / $149.08 / $236.40	Facility		$149.08	$149.08	$236.40