Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,447.41 / $4,043.00 / $10,296.00	Facility		$1,447.41	$4,043.00	$10,296.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,100.00 / $7,264.00 / $12,538.00	Facility		$4,100.00	$7,264.00	$12,538.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,715.83 / $1,715.83 / $37,499.62	Facility		$1,715.83	$1,715.83	$37,499.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,381.32 / $1,381.32 / $7,227.90	Facility		$1,381.32	$1,381.32	$7,227.90
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $133.77 / $133.77 / $133.77	Facility	AS	$133.77	$133.77	$133.77
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $2,143.60 / $9,317.70	Facility		$332.00	$2,143.60	$9,317.70
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,381.32 / $74,999.25	Facility		$555.00	$1,381.32	$74,999.25
MVP Health Care Facility/Professional Facility Modifier AS Low / Median / High Price $133.77 / $133.77 / $133.77	Facility	AS	$133.77	$133.77	$133.77
United Facility/Professional Facility Modifier Low / Median / High Price $1,479.00 / $4,114.00 / $8,133.00	Facility		$1,479.00	$4,114.00	$8,133.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,504.47 / $1,504.47 / $3,898.62	Facility		$1,504.47	$1,504.47	$3,898.62