Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,465.00 / $5,699.00 / $12,267.00	Facility		$2,465.00	$5,699.00	$12,267.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $853.00 / $5,699.00 / $20,199.00	Professional		$853.00	$5,699.00	$20,199.00
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 $2,972.50 / $2,972.50 / $8,917.50	Facility		$2,972.50	$2,972.50	$8,917.50
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 $1,421.00 / $1,573.64 / $1,573.64	Professional		$1,421.00	$1,573.64	$1,573.64
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 $597.00 / $7,227.90 / $41,554.00	Facility		$597.00	$7,227.90	$41,554.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,421.00 / $1,573.64 / $1,573.64	Professional		$1,421.00	$1,573.64	$1,573.64
United Facility/Professional Facility Modifier Low / Median / High Price $2,160.00 / $5,547.00 / $15,090.00	Facility		$2,160.00	$5,547.00	$15,090.00