Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,258.90 / $5,845.00 / $14,113.00	Facility		$1,258.90	$5,845.00	$14,113.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,079.00 / $7,264.00 / $12,538.00	Facility		$4,079.00	$7,264.00	$12,538.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,313.32 / $4,275.50 / $16,534.50	Facility		$1,313.32	$4,275.50	$16,534.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,061.08 / $1,061.08 / $13,296.25	Facility		$1,061.08	$1,061.08	$13,296.25
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $102.94 / $102.94 / $102.94	Facility	AS	$102.94	$102.94	$102.94
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,526.11 / $2,848.00	Facility		$319.00	$1,526.11	$2,848.00
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $13,296.25 / $74,999.25	Facility		$555.00	$13,296.25	$74,999.25
MVP Health Care Facility/Professional Facility Modifier AS Low / Median / High Price $102.94 / $102.94 / $102.94	Facility	AS	$102.94	$102.94	$102.94
United Facility/Professional Facility Modifier Low / Median / High Price $2,444.00 / $6,700.00 / $16,403.00	Facility		$2,444.00	$6,700.00	$16,403.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,158.18 / $1,158.18 / $3,669.98	Facility		$1,158.18	$1,158.18	$3,669.98