Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $164.96 / $3,103.00 / $7,839.00	Facility		$164.96	$3,103.00	$7,839.00
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 $183.79 / $1,716.00 / $6,213.00	Facility		$183.79	$1,716.00	$6,213.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $225.01 / $225.01 / $225.01	Facility		$225.01	$225.01	$225.01
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $111.00 / $183.06 / $353.23	Facility		$111.00	$183.06	$353.23
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $225.01 / $555.00 / $74,999.25	Facility		$225.01	$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 $140.47 / $140.47 / $470.69	Facility		$140.47	$140.47	$470.69