Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,925.50 / $5,228.00 / $11,996.00	Facility		$1,925.50	$5,228.00	$11,996.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,793.00 / $9,974.00 / $17,122.00	Facility		$4,793.00	$9,974.00	$17,122.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,630.17 / $2,630.17 / $37,499.62	Facility		$2,630.17	$2,630.17	$37,499.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,170.19 / $2,170.19 / $7,227.90	Facility		$2,170.19	$2,170.19	$7,227.90
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $214.89 / $214.89 / $214.89	Facility	AS	$214.89	$214.89	$214.89
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $3,144.74 / $5,728.00	Facility		$319.00	$3,144.74	$5,728.00
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $2,170.19 / $74,999.25	Facility		$597.00	$2,170.19	$74,999.25
MVP Health Care Facility/Professional Facility Modifier AS Low / Median / High Price $214.89 / $214.89 / $214.89	Facility	AS	$214.89	$214.89	$214.89
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 $2,168.00 / $2,168.00 / $8,128.04	Facility		$2,168.00	$2,168.00	$8,128.04