Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $586.66 / $4,574.00 / $10,024.00	Facility		$586.66	$4,574.00	$10,024.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,385.00 / $4,133.00 / $9,074.00	Facility		$2,385.00	$4,133.00	$9,074.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $599.79 / $1,990.00 / $8,917.50	Facility		$599.79	$1,990.00	$8,917.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $476.09 / $476.09 / $1,685.80	Facility		$476.09	$476.09	$1,685.80
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $519.00 / $1,083.20	Facility		$332.00	$519.00	$1,083.20
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $476.09 / $597.00 / $74,999.25	Facility		$476.09	$597.00	$74,999.25
United Facility/Professional Facility Modifier Low / Median / High Price $1,500.00 / $3,908.00 / $8,133.00	Facility		$1,500.00	$3,908.00	$8,133.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $581.84 / $581.84 / $1,301.39	Facility		$581.84	$581.84	$1,301.39