Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $3,630.78 / $10,964.78	Facility		$1,548.82	$3,630.78	$10,964.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $8,511.38 / $16,595.87	Facility		$4,466.84	$8,511.38	$16,595.87
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $1,737.80 / $37,153.52	Facility		$1,737.80	$1,737.80	$37,153.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $2,137.96 / $50,118.72	Facility		$34.67	$2,137.96	$50,118.72
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $2,187.76 / $4,786.30	Facility		$1,318.26	$2,187.76	$4,786.30
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $50,118.72 / $75,857.76	Facility		$1,230.27	$50,118.72	$75,857.76
United Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $4,168.69 / $9,332.54	Facility		$1,513.56	$4,168.69	$9,332.54
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,174.90 / $3,981.07	Facility		$1,000.00	$1,174.90	$3,981.07