Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,303.00 / $7,665.00 / $50,042.00	Facility		$2,303.00	$7,665.00	$50,042.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $933.86 / $933.86 / $933.86	Professional		$933.86	$933.86	$933.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,731.00 / $24,851.00 / $73,118.00	Facility		$5,731.00	$24,851.00	$73,118.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.02 / $0.03	Professional		$0.02	$0.02	$0.03
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $5,064.50 / $10,129.00 / $15,193.50	Facility		$5,064.50	$10,129.00	$15,193.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16,219.95 / $30,469.00 / $45,917.00	Facility		$16,219.95	$30,469.00	$45,917.00
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $16,571.00 / $20,953.00 / $20,953.00	Facility		$16,571.00	$20,953.00	$20,953.00
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $17,750.43 / $23,612.18 / $40,360.68	Facility		$17,750.43	$23,612.18	$40,360.68
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $12,004.00 / $30,469.00 / $44,987.00	Facility		$12,004.00	$30,469.00	$44,987.00
United Facility/Professional Facility Modifier Low / Median / High Price $2,964.00 / $13,478.00 / $39,518.00	Facility		$2,964.00	$13,478.00	$39,518.00