Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $616.00 / $3,659.00 / $9,038.00	Facility		$616.00	$3,659.00	$9,038.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,283.00 / $5,160.00 / $11,809.00	Facility		$3,283.00	$5,160.00	$11,809.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $658.49 / $1,254.00 / $4,050.00	Facility		$658.49	$1,254.00	$4,050.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $530.65 / $530.65 / $3,479.91	Facility		$530.65	$530.65	$3,479.91
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $514.50 / $1,201.30	Facility		$319.00	$514.50	$1,201.30
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $530.65 / $555.00 / $3,479.91	Facility		$530.65	$555.00	$3,479.91
United Facility/Professional Facility Modifier Low / Median / High Price $2,031.00 / $4,840.00 / $9,202.00	Facility		$2,031.00	$4,840.00	$9,202.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $604.65 / $604.65 / $1,622.90	Facility		$604.65	$604.65	$1,622.90