Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,550.00 / $4,043.00 / $10,170.00	Facility		$1,550.00	$4,043.00	$10,170.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $146.63 / $159.19 / $3,800.00	Professional		$146.63	$159.19	$3,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $437.32 / $463.05 / $514.50	Professional		$437.32	$463.05	$514.50
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $4,492.50 / $4,492.50 / $13,477.50	Facility		$4,492.50	$4,492.50	$13,477.50
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 $849.00 / $849.00 / $849.00	Professional		$849.00	$849.00	$849.00
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 $849.00 / $849.00 / $849.00	Professional		$849.00	$849.00	$849.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,269.00 / $3,612.00 / $8,133.00	Facility		$1,269.00	$3,612.00	$8,133.00