Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $329.17 / $4,910.00 / $11,396.00	Facility		$329.17	$4,910.00	$11,396.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,393.00 / $4,111.00 / $8,410.00	Facility		$2,393.00	$4,111.00	$8,410.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $286.29 / $286.29 / $37,499.62	Facility		$286.29	$286.29	$37,499.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $232.31 / $232.31 / $7,227.90	Facility		$232.31	$232.31	$7,227.90
Cigna Facility/Professional Facility Modifier 62 Low / Median / High Price $140.04 / $140.04 / $140.04	Facility	62	$140.04	$140.04	$140.04
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $22.41 / $22.41 / $22.41	Facility	AS	$22.41	$22.41	$22.41
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $238.71 / $610.00 / $47,618.00	Facility		$238.71	$610.00	$47,618.00
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $232.31 / $597.00 / $74,999.25	Facility		$232.31	$597.00	$74,999.25
MVP Health Care Facility/Professional Facility Modifier 62 Low / Median / High Price $140.04 / $140.04 / $140.04	Facility	62	$140.04	$140.04	$140.04
MVP Health Care Facility/Professional Facility Modifier AS Low / Median / High Price $22.41 / $22.41 / $22.41	Facility	AS	$22.41	$22.41	$22.41
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 $251.94 / $251.94 / $1,381.05	Facility		$251.94	$251.94	$1,381.05