Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $6,760.83 / $14,125.38	Facility		$1,288.25	$6,760.83	$14,125.38
Aetna Facility/Professional Facility Modifier 22 Low / Median / High Price $20,417.38 / $20,892.96 / $23,442.29	Facility	22	$20,417.38	$20,892.96	$23,442.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $8,912.51 / $22,908.68	Facility		$4,466.84	$8,912.51	$22,908.68
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $2,630.27 / $12,302.69	Facility		$1,000.00	$2,630.27	$12,302.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $18,197.01 / $22,387.21	Facility		$1,202.26	$18,197.01	$22,387.21
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $1,445.44 / $1,445.44 / $1,445.44	Facility	22	$1,445.44	$1,445.44	$1,445.44
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $120.23 / $120.23 / $120.23	Facility	AS	$120.23	$120.23	$120.23
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,122.02 / $4,265.80	Facility		$758.58	$1,122.02	$4,265.80
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $7,413.10 / $16,982.44	Facility		$3,548.13	$7,413.10	$16,982.44
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $50,118.72 / $75,857.76	Facility		$741.31	$50,118.72	$75,857.76
United Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $6,760.83 / $16,595.87	Facility		$2,511.89	$6,760.83	$16,595.87
Univera Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $812.83 / $2,454.71	Facility		$588.84	$812.83	$2,454.71