Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $5,370.32 / $14,454.40	Facility		$1,096.48	$5,370.32	$14,454.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $4,786.30 / $10,232.93	Facility		$2,630.27	$4,786.30	$10,232.93
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $3,467.37 / $13,489.63	Facility		$1,096.48	$3,467.37	$13,489.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,698.24 / $50,118.72	Facility		$1,288.25	$1,698.24	$50,118.72
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $912.01 / $912.01 / $912.01	Facility	54	$912.01	$912.01	$912.01
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $870.96 / $2,570.40	Facility		$724.44	$870.96	$2,570.40
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $50,118.72 / $75,857.76	Facility		$724.44	$50,118.72	$75,857.76
United Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $4,265.80 / $9,549.93	Facility		$1,905.46	$4,265.80	$9,549.93
Univera Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $1,071.52 / $2,238.72	Facility		$645.65	$1,071.52	$2,238.72
Univera Facility/Professional Facility Modifier 54 Low / Median / High Price $489.78 / $512.86 / $851.14	Facility	54	$489.78	$512.86	$851.14