Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,819.00 / $6,050.00 / $10,965.00	Facility		$1,819.00	$6,050.00	$10,965.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $7,028.00 / $13,407.00	Professional		$1,000.00	$7,028.00	$13,407.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,584.06 / $4,853.72 / $5,393.02	Professional		$4,584.06	$4,853.72	$5,393.02
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,071.00 / $2,071.00 / $6,213.00	Facility		$2,071.00	$2,071.00	$6,213.00
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $8,640.00 / $8,640.00 / $8,640.00	Facility		$8,640.00	$8,640.00	$8,640.00
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $74,999.25	Facility		$555.00	$597.00	$74,999.25
United Facility/Professional Facility Modifier Low / Median / High Price $767.00 / $2,744.00 / $4,840.00	Facility		$767.00	$2,744.00	$4,840.00