Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,084.45 / $4,910.00 / $10,965.00	Facility		$1,084.45	$4,910.00	$10,965.00
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 $1,108.05 / $1,108.05 / $18,749.82	Facility		$1,108.05	$1,108.05	$18,749.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $895.16 / $895.16 / $7,227.90	Facility		$895.16	$895.16	$7,227.90
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $86.87 / $86.87 / $86.87	Facility	AS	$86.87	$86.87	$86.87
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,012.79 / $47,618.00	Facility		$332.00	$1,012.79	$47,618.00
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $895.16 / $74,999.25	Facility		$555.00	$895.16	$74,999.25
MVP Health Care Facility/Professional Facility Modifier AS Low / Median / High Price $86.87 / $86.87 / $86.87	Facility	AS	$86.87	$86.87	$86.87
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 $977.93 / $977.93 / $1,267.74	Facility		$977.93	$977.93	$1,267.74