Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $445.72 / $3,818.00 / $10,170.00	Facility		$445.72	$3,818.00	$10,170.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,584.00 / $8,170.00 / $16,174.00	Facility		$4,584.00	$8,170.00	$16,174.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $448.58 / $448.58 / $18,749.82	Facility		$448.58	$448.58	$18,749.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $363.14 / $363.14 / $7,227.90	Facility		$363.14	$363.14	$7,227.90
Cigna Facility/Professional Facility Modifier 62 Low / Median / High Price $218.80 / $218.80 / $218.80	Facility	62	$218.80	$218.80	$218.80
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $35.01 / $35.01 / $35.01	Facility	AS	$35.01	$35.01	$35.01
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $306.61 / $429.43 / $47,618.00	Facility		$306.61	$429.43	$47,618.00
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $363.14 / $597.00 / $74,999.25	Facility		$363.14	$597.00	$74,999.25
MVP Health Care Facility/Professional Facility Modifier 62 Low / Median / High Price $218.80 / $218.80 / $218.80	Facility	62	$218.80	$218.80	$218.80
MVP Health Care Facility/Professional Facility Modifier AS Low / Median / High Price $35.01 / $35.01 / $35.01	Facility	AS	$35.01	$35.01	$35.01
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 $394.11 / $394.11 / $510.11	Facility		$394.11	$394.11	$510.11