Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $908.49 / $3,996.00 / $10,296.00	Facility		$908.49	$3,996.00	$10,296.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $266.83 / $462.57 / $668.88	Facility	52	$266.83	$462.57	$668.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,100.00 / $7,264.00 / $12,697.00	Facility		$4,100.00	$7,264.00	$12,697.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,059.03 / $1,059.03 / $37,499.62	Facility		$1,059.03	$1,059.03	$37,499.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $860.17 / $860.17 / $7,227.90	Facility		$860.17	$860.17	$7,227.90
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $677.34 / $677.34 / $677.34	Facility	52	$677.34	$677.34	$677.34
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $808.90 / $2,024.93	Facility		$319.00	$808.90	$2,024.93
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $860.17 / $7,227.90	Facility		$555.00	$860.17	$7,227.90
MVP Health Care Facility/Professional Facility Modifier 52 Low / Median / High Price $677.34 / $677.34 / $677.34	Facility	52	$677.34	$677.34	$677.34
United Facility/Professional Facility Modifier Low / Median / High Price $1,749.00 / $4,194.00 / $9,300.00	Facility		$1,749.00	$4,194.00	$9,300.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $968.09 / $968.09 / $2,570.41	Facility		$968.09	$968.09	$2,570.41