Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,735.12 / $5,558.24 / $11,690.94	Facility		$1,735.12	$5,558.24	$11,690.94
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $11,715.06 / $11,715.06 / $11,715.06	Facility	50	$11,715.06	$11,715.06	$11,715.06
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $672.01 / $883.88 / $1,297.49	Facility	52	$672.01	$883.88	$1,297.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,574.00 / $7,688.00 / $14,242.23	Facility		$4,574.00	$7,688.00	$14,242.23
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,031.60 / $2,031.60 / $12,319.50	Facility		$2,031.60	$2,031.60	$12,319.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,650.42 / $1,650.42 / $7,227.90	Facility		$1,650.42	$1,650.42	$7,227.90
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $1,300.40 / $1,300.40 / $1,300.40	Facility	52	$1,300.40	$1,300.40	$1,300.40
Cigna Facility/Professional Facility Modifier 62 Low / Median / High Price $1,015.94 / $1,015.94 / $1,015.94	Facility	62	$1,015.94	$1,015.94	$1,015.94
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $162.55 / $162.55 / $162.55	Facility	AS	$162.55	$162.55	$162.55
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,538.14 / $3,776.56	Facility		$319.00	$1,538.14	$3,776.56
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,870.00 / $6,544.39 / $25,583.68	Facility		$3,870.00	$6,544.39	$25,583.68
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,650.42 / $7,227.90	Facility		$555.00	$1,650.42	$7,227.90
MVP Health Care Facility/Professional Facility Modifier 52 Low / Median / High Price $1,300.40 / $1,300.40 / $1,300.40	Facility	52	$1,300.40	$1,300.40	$1,300.40
MVP Health Care Facility/Professional Facility Modifier 62 Low / Median / High Price $1,015.94 / $1,015.94 / $1,015.94	Facility	62	$1,015.94	$1,015.94	$1,015.94
MVP Health Care Facility/Professional Facility Modifier AS Low / Median / High Price $162.55 / $162.55 / $162.55	Facility	AS	$162.55	$162.55	$162.55
United Facility/Professional Facility Modifier Low / Median / High Price $2,031.00 / $4,840.00 / $9,202.00	Facility		$2,031.00	$4,840.00	$9,202.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,554.66 / $1,554.66 / $4,005.93	Facility		$1,554.66	$1,554.66	$4,005.93