Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $909.11 / $6,894.00 / $17,540.80	Facility		$909.11	$6,894.00	$17,540.80
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $338.56 / $454.56 / $607.11	Facility	52	$338.56	$454.56	$607.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,989.00 / $9,720.00 / $16,411.00	Facility		$4,989.00	$9,720.00	$16,411.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $936.22 / $4,275.50 / $16,534.50	Facility		$936.22	$4,275.50	$16,534.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $753.78 / $753.78 / $13,296.25	Facility		$753.78	$753.78	$13,296.25
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $589.65 / $589.65 / $589.65	Facility	52	$589.65	$589.65	$589.65
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $73.70 / $73.70 / $73.70	Facility	AS	$73.70	$73.70	$73.70
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,133.28 / $2,516.44	Facility		$332.00	$1,133.28	$2,516.44
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,732.90 / $6,687.50 / $24,259.60	Facility		$1,732.90	$6,687.50	$24,259.60
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $753.78 / $13,296.25	Facility		$597.00	$753.78	$13,296.25
MVP Health Care Facility/Professional Facility Modifier 52 Low / Median / High Price $589.65 / $589.65 / $589.65	Facility	52	$589.65	$589.65	$589.65
MVP Health Care Facility/Professional Facility Modifier AS Low / Median / High Price $73.70 / $73.70 / $73.70	Facility	AS	$73.70	$73.70	$73.70
United Facility/Professional Facility Modifier Low / Median / High Price $2,444.00 / $7,391.00 / $16,403.00	Facility		$2,444.00	$7,391.00	$16,403.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $708.17 / $708.17 / $2,784.15	Facility		$708.17	$708.17	$2,784.15