Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $613.65 / $4,392.00 / $10,965.00	Facility		$613.65	$4,392.00	$10,965.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,807.62 / $2,807.62 / $12,059.26	Facility	50	$2,807.62	$2,807.62	$12,059.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,283.00 / $5,160.00 / $11,809.00	Facility		$3,283.00	$5,160.00	$11,809.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $626.28 / $1,716.00 / $6,213.00	Facility		$626.28	$1,716.00	$6,213.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $509.08 / $509.08 / $7,227.90	Facility		$509.08	$509.08	$7,227.90
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $50.41 / $50.41 / $50.41	Facility	AS	$50.41	$50.41	$50.41
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $549.23 / $1,203.46	Facility		$319.00	$549.23	$1,203.46
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,221.50 / $6,652.62 / $17,497.84	Facility		$2,221.50	$6,652.62	$17,497.84
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $19,452.91 / $19,452.91 / $20,995.50	Facility	50	$19,452.91	$19,452.91	$20,995.50
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $509.08 / $555.00 / $7,227.90	Facility		$509.08	$555.00	$7,227.90
MVP Health Care Facility/Professional Facility Modifier AS Low / Median / High Price $50.41 / $50.41 / $50.41	Facility	AS	$50.41	$50.41	$50.41
United Facility/Professional Facility Modifier Low / Median / High Price $2,264.00 / $5,735.00 / $11,176.00	Facility		$2,264.00	$5,735.00	$11,176.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $477.04 / $477.04 / $559.12	Facility		$477.04	$477.04	$559.12