Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,217.43 / $6,848.00 / $15,793.00	Facility		$1,217.43	$6,848.00	$15,793.00
Aetna Facility/Professional Facility Modifier 22 Low / Median / High Price $23,311.72 / $23,311.72 / $23,311.72	Facility	22	$23,311.72	$23,311.72	$23,311.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,989.00 / $10,294.00 / $23,873.00	Facility		$4,989.00	$10,294.00	$23,873.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,279.81 / $2,644.00 / $12,319.50	Facility		$1,279.81	$2,644.00	$12,319.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,038.28 / $12,209.00 / $34,562.00	Facility		$1,038.28	$12,209.00	$34,562.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $102.27 / $102.27 / $102.27	Facility	AS	$102.27	$102.27	$102.27
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,581.81 / $3,216.07	Facility		$332.00	$1,581.81	$3,216.07
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,209.14 / $13,202.98 / $24,402.05	Facility		$4,209.14	$13,202.98	$24,402.05
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $8,147.00 / $34,562.00	Facility		$597.00	$8,147.00	$34,562.00
MVP Health Care Facility/Professional Facility Modifier AS Low / Median / High Price $102.27 / $102.27 / $102.27	Facility	AS	$102.27	$102.27	$102.27
United Facility/Professional Facility Modifier Low / Median / High Price $2,444.00 / $6,762.00 / $16,243.00	Facility		$2,444.00	$6,762.00	$16,243.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,042.26 / $1,042.26 / $3,211.66	Facility		$1,042.26	$1,042.26	$3,211.66