Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,575.60 / $4,386.00 / $9,868.00	Facility		$1,575.60	$4,386.00	$9,868.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $785.81 / $785.81 / $3,048.00	Professional		$785.81	$785.81	$3,048.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $201.70 / $237.30 / $237.30	Professional		$201.70	$237.30	$237.30
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 $1,765.00 / $7,289.38 / $7,289.38	Facility		$1,765.00	$7,289.38	$7,289.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $349.46 / $349.46 / $349.46	Professional		$349.46	$349.46	$349.46
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $2,813.00 / $8,640.00 / $8,640.00	Facility		$2,813.00	$8,640.00	$8,640.00
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 Facility Modifier Low / Median / High Price $1,179.23 / $1,179.23 / $1,179.23	Facility		$1,179.23	$1,179.23	$1,179.23
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,500.00 / $1,500.00 / $1,500.00	Professional		$1,500.00	$1,500.00	$1,500.00
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $7,289.38 / $8,498.00	Facility		$597.00	$7,289.38	$8,498.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $222.42 / $222.42 / $222.42	Professional		$222.42	$222.42	$222.42
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