Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,626.09 / $4,200.00 / $9,661.00	Facility		$1,626.09	$4,200.00	$9,661.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $383.04 / $1,650.00 / $7,028.00	Professional		$383.04	$1,650.00	$7,028.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,309.66 / $1,391.51 / $1,637.08	Professional		$1,309.66	$1,391.51	$1,637.08
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,071.00 / $2,071.00 / $6,213.00	Facility		$2,071.00	$2,071.00	$6,213.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,227.90 / $7,227.90 / $7,227.90	Facility		$7,227.90	$7,227.90	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,773.64 / $6,365.40 / $6,792.52	Professional		$5,773.64	$6,365.40	$6,792.52
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $8,650.00 / $8,650.00 / $8,650.00	Facility		$8,650.00	$8,650.00	$8,650.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $55,249.45 / $55,249.45 / $55,249.45	Professional		$55,249.45	$55,249.45	$55,249.45
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $7,227.90 / $74,999.25	Facility		$555.00	$7,227.90	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $5,773.64 / $6,365.40 / $6,792.52	Professional		$5,773.64	$6,365.40	$6,792.52
United Facility/Professional Facility Modifier Low / Median / High Price $1,079.00 / $2,826.00 / $4,851.00	Facility		$1,079.00	$2,826.00	$4,851.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $0.10 / $0.10 / $0.10	Facility		$0.10	$0.10	$0.10
Univera Facility/Professional Professional Modifier Low / Median / High Price $0.10 / $0.10 / $0.10	Professional		$0.10	$0.10	$0.10