Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $240.00 / $18,389.00 / $22,777.00	Facility		$240.00	$18,389.00	$22,777.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $240.00 / $240.00 / $240.00	Professional		$240.00	$240.00	$240.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $148.96 / $148.96 / $148.96	Facility		$148.96	$148.96	$148.96
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $148.96 / $148.96 / $192.92	Professional		$148.96	$148.96	$192.92
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
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $166.73 / $300.11 / $46,576.00	Facility		$166.73	$300.11	$46,576.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $175.07 / $241.76 / $361.80	Professional		$175.07	$241.76	$361.80
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 $430.00 / $430.00 / $430.00	Professional		$430.00	$430.00	$430.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,749.00 / $4,194.00 / $9,300.00	Facility		$1,749.00	$4,194.00	$9,300.00
United Facility/Professional Professional Modifier Low / Median / High Price $220.58 / $301.27 / $660.03	Professional		$220.58	$301.27	$660.03