Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,626.00 / $5,324.00 / $12,051.00	Facility		$2,626.00	$5,324.00	$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 $4,680.32 / $4,680.32 / $37,499.62	Facility		$4,680.32	$4,680.32	$37,499.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,797.86 / $3,797.86 / $7,227.90	Facility		$3,797.86	$3,797.86	$7,227.90
Cigna Facility/Professional Facility Modifier 62 Low / Median / High Price $2,356.92 / $2,356.92 / $2,356.92	Facility	62	$2,356.92	$2,356.92	$2,356.92
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $5,575.92 / $9,600.00	Facility		$319.00	$5,575.92	$9,600.00
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $3,797.86 / $74,999.25	Facility		$597.00	$3,797.86	$74,999.25
MVP Health Care Facility/Professional Facility Modifier 62 Low / Median / High Price $2,356.92 / $2,356.92 / $2,356.92	Facility	62	$2,356.92	$2,356.92	$2,356.92
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 $3,824.52 / $3,824.52 / $14,014.48	Facility		$3,824.52	$3,824.52	$14,014.48