Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,523.15 / $5,699.00 / $12,075.00	Facility		$2,523.15	$5,699.00	$12,075.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,505.96 / $1,505.96 / $5,699.00	Professional		$1,505.96	$1,505.96	$5,699.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,499.00 / $7,264.00 / $13,780.00	Facility		$4,499.00	$7,264.00	$13,780.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $50.00 / $50.00	Professional		$50.00	$50.00	$50.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $4,106.50 / $4,106.50 / $12,319.50	Facility		$4,106.50	$4,106.50	$12,319.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,538.00 / $7,227.90 / $12,209.00	Facility		$1,538.00	$7,227.90	$12,209.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,463.00 / $4,504.25 / $4,504.25	Professional		$1,463.00	$4,504.25	$4,504.25
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $2,813.00 / $8,640.00 / $11,153.00	Facility		$2,813.00	$8,640.00	$11,153.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $55,249.45 / $55,249.45 / $55,249.45	Professional		$55,249.45	$55,249.45	$55,249.45
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $7,227.90 / $12,209.00	Facility		$555.00	$7,227.90	$12,209.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,463.00 / $4,504.25 / $4,504.25	Professional		$1,463.00	$4,504.25	$4,504.25
United Facility/Professional Facility Modifier Low / Median / High Price $2,160.00 / $5,547.00 / $13,746.00	Facility		$2,160.00	$5,547.00	$13,746.00