Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $190.42 / $3,316.00 / $8,020.00	Facility		$190.42	$3,316.00	$8,020.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,691.00 / $3,382.00 / $4,707.00	Facility		$1,691.00	$3,382.00	$4,707.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $164.58 / $1,716.00 / $6,213.00	Facility		$164.58	$1,716.00	$6,213.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $200.74 / $200.74 / $200.74	Facility		$200.74	$200.74	$200.74
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $137.66 / $206.00 / $346.00	Facility		$137.66	$206.00	$346.00
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $200.74 / $555.00 / $74,999.25	Facility		$200.74	$555.00	$74,999.25
United Facility/Professional Facility Modifier Low / Median / High Price $964.00 / $2,826.00 / $4,851.00	Facility		$964.00	$2,826.00	$4,851.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $123.30 / $123.30 / $760.36	Facility		$123.30	$123.30	$760.36