Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $815.39 / $3,621.00 / $8,134.00	Facility		$815.39	$3,621.00	$8,134.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,100.00 / $7,264.00 / $12,274.00	Facility		$4,100.00	$7,264.00	$12,274.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $907.50 / $1,254.00 / $4,050.00	Facility		$907.50	$1,254.00	$4,050.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $730.80 / $730.80 / $3,479.91	Facility		$730.80	$730.80	$3,479.91
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,061.00 / $1,697.60	Facility		$319.00	$1,061.00	$1,697.60
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $730.80 / $3,479.91	Facility		$555.00	$730.80	$3,479.91
United Facility/Professional Facility Modifier Low / Median / High Price $2,444.00 / $6,762.00 / $16,403.00	Facility		$2,444.00	$6,762.00	$16,403.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $833.46 / $833.46 / $2,217.62	Facility		$833.46	$833.46	$2,217.62