Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $966.00 / $1,120.00 / $1,190.00	Facility		$966.00	$1,120.00	$1,190.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $966.00 / $1,162.00 / $1,190.00	Professional		$966.00	$1,162.00	$1,190.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $306.00 / $380.00 / $680.00	Professional		$306.00	$380.00	$680.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $839.84 / $839.84 / $839.84	Facility		$839.84	$839.84	$839.84
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $839.84 / $839.84 / $839.84	Professional		$839.84	$839.84	$839.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $537.35 / $553.47 / $1,190.00	Facility		$537.35	$553.47	$1,190.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $659.12 / $659.12 / $659.12	Professional		$659.12	$659.12	$659.12
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $38,249.62 / $38,249.62 / $38,249.62	Professional		$38,249.62	$38,249.62	$38,249.62
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $553.47 / $553.47 / $1,190.00	Facility		$553.47	$553.47	$1,190.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $659.12 / $659.12 / $659.12	Professional		$659.12	$659.12	$659.12
United Facility/Professional Professional Modifier Low / Median / High Price $1,400.00 / $1,400.00 / $1,889.78	Professional		$1,400.00	$1,400.00	$1,889.78