Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $277.92 / $3,917.00 / $9,868.00	Facility		$277.92	$3,917.00	$9,868.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,263.00 / $5,196.00 / $11,909.00	Facility		$3,263.00	$5,196.00	$11,909.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $294.50 / $1,990.00 / $8,917.50	Facility		$294.50	$1,990.00	$8,917.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $351.68 / $351.68 / $351.68	Facility		$351.68	$351.68	$351.68
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $164.00 / $257.83 / $562.37	Facility		$164.00	$257.83	$562.37
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $351.68 / $555.00 / $74,999.25	Facility		$351.68	$555.00	$74,999.25
United Facility/Professional Facility Modifier Low / Median / High Price $2,160.00 / $5,248.00 / $11,200.00	Facility		$2,160.00	$5,248.00	$11,200.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $228.60 / $228.60 / $706.54	Facility		$228.60	$228.60	$706.54