Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $214.54 / $3,731.00 / $10,965.00	Facility		$214.54	$3,731.00	$10,965.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,393.00 / $4,120.00 / $8,836.00	Facility		$2,393.00	$4,120.00	$8,836.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $209.85 / $1,254.00 / $4,050.00	Facility		$209.85	$1,254.00	$4,050.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $254.42 / $254.42 / $3,479.91	Facility		$254.42	$254.42	$3,479.91
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $171.00 / $246.76 / $391.68	Facility		$171.00	$246.76	$391.68
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $254.42 / $555.00 / $3,479.91	Facility		$254.42	$555.00	$3,479.91
United Facility/Professional Facility Modifier Low / Median / High Price $2,066.00 / $3,612.00 / $7,203.00	Facility		$2,066.00	$3,612.00	$7,203.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $157.59 / $157.59 / $527.60	Facility		$157.59	$157.59	$527.60