Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $403.62 / $2,865.00 / $8,095.00	Facility		$403.62	$2,865.00	$8,095.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $252.30 / $360.13 / $535.38	Facility	54	$252.30	$360.13	$535.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,691.00 / $3,382.00 / $4,707.00	Facility		$1,691.00	$3,382.00	$4,707.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $435.30 / $1,990.00 / $8,917.50	Facility		$435.30	$1,990.00	$8,917.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $537.13 / $537.13 / $537.13	Facility		$537.13	$537.13	$537.13
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $375.99 / $375.99 / $375.99	Facility	54	$375.99	$375.99	$375.99
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $331.00 / $387.00 / $850.93	Facility		$331.00	$387.00	$850.93
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $651.32 / $990.78 / $1,154.39	Facility		$651.32	$990.78	$1,154.39
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $537.13 / $555.00 / $74,999.25	Facility		$537.13	$555.00	$74,999.25
MVP Health Care Facility/Professional Facility Modifier 54 Low / Median / High Price $375.99 / $375.99 / $375.99	Facility	54	$375.99	$375.99	$375.99
United Facility/Professional Facility Modifier Low / Median / High Price $964.00 / $2,826.00 / $4,851.00	Facility		$964.00	$2,826.00	$4,851.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $381.21 / $381.21 / $1,128.53	Facility		$381.21	$381.21	$1,128.53
Univera Facility/Professional Facility Modifier 54 Low / Median / High Price $343.09 / $343.09 / $343.09	Facility	54	$343.09	$343.09	$343.09