Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,683.19 / $4,392.00 / $10,296.00	Facility		$1,683.19	$4,392.00	$10,296.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,989.00 / $9,720.00 / $16,411.00	Facility		$4,989.00	$9,720.00	$16,411.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,064.31 / $2,064.31 / $37,499.62	Facility		$2,064.31	$2,064.31	$37,499.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,668.17 / $1,668.17 / $7,227.90	Facility		$1,668.17	$1,668.17	$7,227.90
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $163.07 / $163.07 / $163.07	Facility	AS	$163.07	$163.07	$163.07
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,668.00 / $3,904.47	Facility		$319.00	$1,668.00	$3,904.47
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,668.17 / $7,227.90	Facility		$555.00	$1,668.17	$7,227.90
MVP Health Care Facility/Professional Facility Modifier AS Low / Median / High Price $163.07 / $163.07 / $163.07	Facility	AS	$163.07	$163.07	$163.07
United Facility/Professional Facility Modifier Low / Median / High Price $1,749.00 / $4,194.00 / $9,300.00	Facility		$1,749.00	$4,194.00	$9,300.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,561.21 / $1,561.21 / $5,015.14	Facility		$1,561.21	$1,561.21	$5,015.14