Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10,841.00 / $10,841.00 / $10,841.00	Facility		$10,841.00	$10,841.00	$10,841.00
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $3,050.00 / $6,611.00 / $12,455.00	Facility		$3,050.00	$6,611.00	$12,455.00
Fidelis Facility/Professional Facility Modifier Low / Median / High Price $1,791.34 / $4,101.30 / $5,117.85	Facility		$1,791.34	$4,101.30	$5,117.85
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,712.00 / $1,712.00 / $2,975.46	Facility		$1,712.00	$1,712.00	$2,975.46
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $3,017.00 / $4,684.00 / $22,460.00	Facility		$3,017.00	$4,684.00	$22,460.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $896.00 / $3,019.00 / $24,160.00	Facility		$896.00	$3,019.00	$24,160.00