Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,225.43 / $4,574.00 / $10,024.00	Facility		$1,225.43	$4,574.00	$10,024.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,217.00 / $5,196.00 / $11,909.00	Facility		$3,217.00	$5,196.00	$11,909.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,290.77 / $1,990.00 / $8,917.50	Facility		$1,290.77	$1,990.00	$8,917.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,023.66 / $1,023.66 / $2,203.26	Facility		$1,023.66	$1,023.66	$2,203.26
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,063.00 / $2,314.60	Facility		$332.00	$1,063.00	$2,314.60
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,023.66 / $74,999.25	Facility		$555.00	$1,023.66	$74,999.25
United Facility/Professional Facility Modifier Low / Median / High Price $2,063.00 / $5,191.00 / $11,098.00	Facility		$2,063.00	$5,191.00	$11,098.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,248.05 / $1,248.05 / $2,944.80	Facility		$1,248.05	$1,248.05	$2,944.80