Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,673.30 / $5,630.00 / $20,782.00	Facility		$1,673.30	$5,630.00	$20,782.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $658.90 / $876.44 / $1,218.35	Facility	52	$658.90	$876.44	$1,218.35
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 $2,031.74 / $4,492.50 / $13,477.50	Facility		$2,031.74	$4,492.50	$13,477.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,358.98 / $7,227.90 / $34,562.00	Facility		$1,358.98	$7,227.90	$34,562.00
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $1,059.70 / $1,059.70 / $1,059.70	Facility	52	$1,059.70	$1,059.70	$1,059.70
Cigna Facility/Professional Facility Modifier 62 Low / Median / High Price $827.89 / $827.89 / $827.89	Facility	62	$827.89	$827.89	$827.89
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $132.46 / $132.46 / $132.46	Facility	AS	$132.46	$132.46	$132.46
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,899.00 / $3,356.20	Facility		$332.00	$1,899.00	$3,356.20
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,147.37 / $10,866.05 / $31,048.83	Facility		$5,147.37	$10,866.05	$31,048.83
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $7,227.90 / $34,562.00	Facility		$597.00	$7,227.90	$34,562.00
MVP Health Care Facility/Professional Facility Modifier 52 Low / Median / High Price $1,059.70 / $1,059.70 / $1,059.70	Facility	52	$1,059.70	$1,059.70	$1,059.70
MVP Health Care Facility/Professional Facility Modifier 62 Low / Median / High Price $827.89 / $827.89 / $827.89	Facility	62	$827.89	$827.89	$827.89
MVP Health Care Facility/Professional Facility Modifier AS Low / Median / High Price $132.46 / $132.46 / $132.46	Facility	AS	$132.46	$132.46	$132.46
United Facility/Professional Facility Modifier Low / Median / High Price $2,705.00 / $8,019.00 / $23,400.00	Facility		$2,705.00	$8,019.00	$23,400.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,585.61 / $1,585.61 / $5,791.08	Facility		$1,585.61	$1,585.61	$5,791.08