Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,819.00 / $4,731.00 / $10,170.00	Facility		$1,819.00	$4,731.00	$10,170.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $853.00 / $1,819.00 / $10,170.00	Professional		$853.00	$1,819.00	$10,170.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,141.07 / $7,677.97 / $14,063.36	Facility		$5,141.07	$7,677.97	$14,063.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,205.26 / $3,393.81 / $3,770.90	Professional		$3,205.26	$3,393.81	$3,770.90
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $37,499.62 / $37,499.62 / $37,499.62	Facility		$37,499.62	$37,499.62	$37,499.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,538.00 / $7,227.90 / $7,227.90	Facility		$1,538.00	$7,227.90	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,102.00 / $1,102.00 / $1,102.00	Professional		$1,102.00	$1,102.00	$1,102.00
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $2,813.00 / $8,640.00 / $8,640.00	Facility		$2,813.00	$8,640.00	$8,640.00
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 / $74,999.25	Facility		$555.00	$7,227.90	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,102.00 / $1,102.00 / $1,102.00	Professional		$1,102.00	$1,102.00	$1,102.00
United Facility/Professional Facility Modifier Low / Median / High Price $996.00 / $4,194.00 / $9,020.04	Facility		$996.00	$4,194.00	$9,020.04