Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,715.00 / $5,128.00 / $10,965.00	Facility		$1,715.00	$5,128.00	$10,965.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.25 / $220.00 / $5,537.40	Professional		$100.25	$220.00	$5,537.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $50.00 / $50.00	Professional		$50.00	$50.00	$50.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,350.00 / $1,350.00 / $4,050.00	Facility		$1,350.00	$1,350.00	$4,050.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,227.90 / $30,367.00 / $36,587.00	Facility		$7,227.90	$30,367.00	$36,587.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,654.00 / $1,654.00 / $1,654.00	Professional		$1,654.00	$1,654.00	$1,654.00
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $2,813.00 / $8,640.00 / $35,694.00	Facility		$2,813.00	$8,640.00	$35,694.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $55,249.45 / $55,249.45 / $55,249.45	Professional		$55,249.45	$55,249.45	$55,249.45
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $425.00 / $425.00 / $425.00	Professional		$425.00	$425.00	$425.00
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $31,478.00 / $36,587.00	Facility		$597.00	$31,478.00	$36,587.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,654.00 / $1,654.00 / $1,654.00	Professional		$1,654.00	$1,654.00	$1,654.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,269.00 / $3,612.00 / $8,133.00	Facility		$1,269.00	$3,612.00	$8,133.00