Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $769.60 / $6,393.00 / $52,734.22	Facility		$769.60	$6,393.00	$52,734.22
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $127.05 / $161.66 / $231.29	Facility	53	$127.05	$161.66	$231.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,742.45 / $14,598.00 / $58,209.00	Facility		$5,742.45	$14,598.00	$58,209.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $922.05 / $5,064.50 / $15,193.50	Facility		$922.05	$5,064.50	$15,193.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12,886.00 / $30,055.00 / $45,917.00	Facility		$12,886.00	$30,055.00	$45,917.00
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $143.91 / $143.91 / $143.91	Facility	53	$143.91	$143.91	$143.91
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $939.00 / $3,812.34	Facility		$332.00	$939.00	$3,812.34
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $30,779.35 / $30,779.35 / $30,779.35	Facility		$30,779.35	$30,779.35	$30,779.35
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $11,209.00 / $30,469.00 / $45,917.00	Facility		$11,209.00	$30,469.00	$45,917.00
MVP Health Care Facility/Professional Facility Modifier 53 Low / Median / High Price $143.91 / $143.91 / $143.91	Facility	53	$143.91	$143.91	$143.91
United Facility/Professional Facility Modifier Low / Median / High Price $2,444.00 / $13,478.00 / $40,704.00	Facility		$2,444.00	$13,478.00	$40,704.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $878.51 / $878.51 / $2,121.03	Facility		$878.51	$878.51	$2,121.03