Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $212.62 / $2,865.00 / $7,563.00	Facility		$212.62	$2,865.00	$7,563.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,653.22 / $1,653.22 / $11,998.00	Facility	50	$1,653.22	$1,653.22	$11,998.00
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 $212.78 / $212.78 / $10,957.50	Facility		$212.78	$212.78	$10,957.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $255.98 / $255.98 / $14,648.00	Facility		$255.98	$255.98	$14,648.00
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $171.43 / $250.00 / $406.55	Facility		$171.43	$250.00	$406.55
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $255.98 / $555.00 / $74,999.25	Facility		$255.98	$555.00	$74,999.25
United Facility/Professional Facility Modifier Low / Median / High Price $1,079.00 / $2,826.00 / $4,851.00	Facility		$1,079.00	$2,826.00	$4,851.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $187.49 / $187.49 / $589.21	Facility		$187.49	$187.49	$589.21