Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,819.00 / $5,228.00 / $11,396.00	Facility		$1,819.00	$5,228.00	$11,396.00
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 $2,184.15 / $2,184.15 / $37,499.62	Facility		$2,184.15	$2,184.15	$37,499.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,795.20 / $1,795.20 / $39,142.00	Facility		$1,795.20	$1,795.20	$39,142.00
Cigna Facility/Professional Facility Modifier 62 Low / Median / High Price $1,109.83 / $1,109.83 / $1,109.83	Facility	62	$1,109.83	$1,109.83	$1,109.83
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $2,651.76 / $5,627.20	Facility		$319.00	$2,651.76	$5,627.20
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $1,795.20 / $39,142.00	Facility		$597.00	$1,795.20	$39,142.00
MVP Health Care Facility/Professional Facility Modifier 62 Low / Median / High Price $1,109.83 / $1,109.83 / $1,109.83	Facility	62	$1,109.83	$1,109.83	$1,109.83
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 $1,802.69 / $1,802.69 / $6,629.71	Facility		$1,802.69	$1,802.69	$6,629.71