Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,626.00 / $5,845.00 / $12,051.00	Facility		$2,626.00	$5,845.00	$12,051.00
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 $5,186.75 / $5,186.75 / $37,499.62	Facility		$5,186.75	$5,186.75	$37,499.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,251.34 / $4,251.34 / $7,227.90	Facility		$4,251.34	$4,251.34	$7,227.90
Cigna Facility/Professional Facility Modifier 62 Low / Median / High Price $2,621.39 / $2,621.39 / $2,621.39	Facility	62	$2,621.39	$2,621.39	$2,621.39
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $5,025.00 / $10,391.92	Facility		$319.00	$5,025.00	$10,391.92
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $4,251.34 / $74,999.25	Facility		$597.00	$4,251.34	$74,999.25
MVP Health Care Facility/Professional Facility Modifier 62 Low / Median / High Price $2,621.39 / $2,621.39 / $2,621.39	Facility	62	$2,621.39	$2,621.39	$2,621.39
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 $4,250.52 / $4,250.52 / $16,814.06	Facility		$4,250.52	$4,250.52	$16,814.06