Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,575.60 / $4,386.00 / $9,868.00	Facility		$1,575.60	$4,386.00	$9,868.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,715.00 / $5,960.00 / $10,686.00	Professional		$1,715.00	$5,960.00	$10,686.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,691.00 / $3,333.00 / $4,636.00	Facility		$1,691.00	$3,333.00	$4,636.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,350.00 / $1,350.00 / $4,050.00	Facility		$1,350.00	$1,350.00	$4,050.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,227.90 / $7,227.90 / $7,227.90	Facility		$7,227.90	$7,227.90	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,896.82 / $1,896.82 / $5,467.85	Professional		$1,896.82	$1,896.82	$5,467.85
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
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $55,249.45 / $55,249.45 / $55,249.45	Professional		$55,249.45	$55,249.45	$55,249.45
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $7,227.90 / $74,999.25	Facility		$555.00	$7,227.90	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,896.82 / $1,896.82 / $5,467.85	Professional		$1,896.82	$1,896.82	$5,467.85
United Facility/Professional Facility Modifier Low / Median / High Price $1,079.00 / $2,826.00 / $4,851.00	Facility		$1,079.00	$2,826.00	$4,851.00