Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $163.24 / $163.24 / $370.30	Facility		$163.24	$163.24	$370.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $163.24 / $163.24 / $182.82	Professional		$163.24	$163.24	$182.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $176.00 / $176.00 / $176.00	Professional		$176.00	$176.00	$176.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $154.40 / $154.40 / $154.40	Facility		$154.40	$154.40	$154.40
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $154.40 / $154.40 / $154.40	Professional		$154.40	$154.40	$154.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $179.39 / $190.31 / $807.26	Facility		$179.39	$190.31	$807.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $179.39 / $179.39 / $179.39	Professional		$179.39	$179.39	$179.39
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $172.85 / $172.85 / $299.02	Facility		$172.85	$172.85	$299.02
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $172.85 / $172.85 / $172.85	Professional		$172.85	$172.85	$172.85
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $179.39 / $190.31 / $807.26	Facility		$179.39	$190.31	$807.26
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $145.00 / $145.00 / $179.39	Professional		$145.00	$145.00	$179.39
United Facility/Professional Professional Modifier Low / Median / High Price $164.98 / $192.05 / $249.72	Professional		$164.98	$192.05	$249.72
Univera Facility/Professional Facility Modifier Low / Median / High Price $126.53 / $126.53 / $126.53	Facility		$126.53	$126.53	$126.53
Univera Facility/Professional Professional Modifier Low / Median / High Price $126.53 / $126.53 / $136.78	Professional		$126.53	$126.53	$136.78