Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $768.20 / $4,097.00 / $10,170.00	Facility		$768.20	$4,097.00	$10,170.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,283.00 / $5,160.00 / $11,809.00	Facility		$3,283.00	$5,160.00	$11,809.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $794.86 / $1,716.00 / $6,213.00	Facility		$794.86	$1,716.00	$6,213.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $643.91 / $643.91 / $4,612.43	Facility		$643.91	$643.91	$4,612.43
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $690.00 / $1,519.88	Facility		$319.00	$690.00	$1,519.88
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $643.91 / $23,610.00	Facility		$597.00	$643.91	$23,610.00
United Facility/Professional Facility Modifier Low / Median / High Price $2,031.00 / $4,840.00 / $9,202.00	Facility		$2,031.00	$4,840.00	$9,202.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $604.44 / $604.44 / $1,722.55	Facility		$604.44	$604.44	$1,722.55