Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,143.96 / $4,400.00 / $12,592.00	Facility		$1,143.96	$4,400.00	$12,592.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,100.00 / $7,264.00 / $12,274.00	Facility		$4,100.00	$7,264.00	$12,274.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,172.81 / $1,716.00 / $6,213.00	Facility		$1,172.81	$1,716.00	$6,213.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $963.59 / $963.59 / $4,612.43	Facility		$963.59	$963.59	$4,612.43
Cigna Facility/Professional Facility Modifier 62 Low / Median / High Price $599.30 / $599.30 / $599.30	Facility	62	$599.30	$599.30	$599.30
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $95.89 / $95.89 / $95.89	Facility	AS	$95.89	$95.89	$95.89
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,427.88 / $2,697.60	Facility		$319.00	$1,427.88	$2,697.60
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,429.37 / $8,429.37 / $8,923.04	Facility		$8,429.37	$8,429.37	$8,923.04
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $963.59 / $58,336.00	Facility		$597.00	$963.59	$58,336.00
MVP Health Care Facility/Professional Facility Modifier 62 Low / Median / High Price $599.30 / $599.30 / $599.30	Facility	62	$599.30	$599.30	$599.30
MVP Health Care Facility/Professional Facility Modifier AS Low / Median / High Price $95.89 / $95.89 / $95.89	Facility	AS	$95.89	$95.89	$95.89
United Facility/Professional Facility Modifier Low / Median / High Price $2,337.00 / $6,450.00 / $12,742.00	Facility		$2,337.00	$6,450.00	$12,742.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $970.81 / $970.81 / $3,412.27	Facility		$970.81	$970.81	$3,412.27