Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $3,090.30 / $9,120.11	Facility		$181.97	$3,090.30	$9,120.11
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,715.35 / $3,715.35 / $3,715.35	Facility	50	$3,715.35	$3,715.35	$3,715.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $11,481.54 / $26,302.68	Facility		$5,011.87	$11,481.54	$26,302.68
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $173.78 / $37,153.52	Facility		$173.78	$173.78	$37,153.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $208.93 / $50,118.72	Facility		$34.67	$208.93	$50,118.72
Cigna Facility/Professional Facility Modifier 62 Low / Median / High Price $128.82 / $128.82 / $128.82	Facility	62	$128.82	$128.82	$128.82
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $20.89 / $20.89 / $20.89	Facility	AS	$20.89	$20.89	$20.89
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $169.82 / $426.58	Facility		$123.03	$169.82	$426.58
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $50,118.72 / $75,857.76	Facility		$154.88	$50,118.72	$75,857.76
United Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $2,754.23 / $4,897.79	Facility		$1,318.26	$2,754.23	$4,897.79
Univera Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $151.36 / $199.53	Facility		$95.50	$151.36	$199.53