Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $645.00 / $3,731.00 / $9,267.00	Facility		$645.00	$3,731.00	$9,267.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,393.00 / $4,120.00 / $8,836.00	Facility		$2,393.00	$4,120.00	$8,836.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $695.69 / $1,254.00 / $4,050.00	Facility		$695.69	$1,254.00	$4,050.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $561.04 / $561.04 / $3,479.91	Facility		$561.04	$561.04	$3,479.91
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $120.00 / $332.00 / $1,278.10	Facility		$120.00	$332.00	$1,278.10
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $561.04 / $3,479.91	Facility		$555.00	$561.04	$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 $659.75 / $659.75 / $1,628.86	Facility		$659.75	$659.75	$1,628.86