Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $973.61 / $7,184.50 / $17,540.80	Facility		$973.61	$7,184.50	$17,540.80
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
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $4,366.02 / $8,066.03 / $17,922.86	Facility	50	$4,366.02	$8,066.03	$17,922.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,634.00 / $8,113.00 / $21,263.00	Facility		$4,634.00	$8,113.00	$21,263.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $924.25 / $2,644.00 / $12,319.50	Facility		$924.25	$2,644.00	$12,319.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $746.90 / $17,446.00 / $21,019.00	Facility		$746.90	$17,446.00	$21,019.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $73.26 / $73.26 / $73.26	Facility	AS	$73.26	$73.26	$73.26
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,277.86 / $8,640.00	Facility		$332.00	$1,277.86	$8,640.00
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,069.94 / $7,824.00 / $19,147.50	Facility		$4,069.94	$7,824.00	$19,147.50
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $4,575.29 / $7,462.01 / $17,234.14	Facility	50	$4,575.29	$7,462.01	$17,234.14
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $746.90 / $8,147.00 / $21,019.00	Facility		$746.90	$8,147.00	$21,019.00
MVP Health Care Facility/Professional Facility Modifier AS Low / Median / High Price $73.26 / $73.26 / $73.26	Facility	AS	$73.26	$73.26	$73.26
United Facility/Professional Facility Modifier Low / Median / High Price $2,444.00 / $7,391.00 / $16,243.00	Facility		$2,444.00	$7,391.00	$16,243.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $747.00 / $747.00 / $2,245.96	Facility		$747.00	$747.00	$2,245.96