Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,511.00 / $5,390.10 / $12,105.00	Facility		$2,511.00	$5,390.10	$12,105.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,040.00 / $10,294.00 / $19,351.80	Facility		$5,040.00	$10,294.00	$19,351.80
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $3,191.96 / $3,191.96 / $18,749.82	Facility		$3,191.96	$3,191.96	$18,749.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,565.42 / $2,565.42 / $7,227.90	Facility		$2,565.42	$2,565.42	$7,227.90
Cigna Facility/Professional Facility Modifier 62 Low / Median / High Price $1,548.83 / $1,548.83 / $1,548.83	Facility	62	$1,548.83	$1,548.83	$1,548.83
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $2,906.87 / $47,618.00	Facility		$332.00	$2,906.87	$47,618.00
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $2,565.42 / $74,999.25	Facility		$555.00	$2,565.42	$74,999.25
MVP Health Care Facility/Professional Facility Modifier 62 Low / Median / High Price $1,548.83 / $1,548.83 / $1,548.83	Facility	62	$1,548.83	$1,548.83	$1,548.83
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 $2,789.02 / $2,789.02 / $3,637.08	Facility		$2,789.02	$2,789.02	$3,637.08