Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $141.25 / $141.25	Facility		$141.25	$141.25	$141.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $141.25 / $155.37	Professional		$141.25	$141.25	$155.37
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $142.00 / $142.00 / $142.00	Professional		$142.00	$142.00	$142.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $265.00 / $265.00 / $265.00	Facility		$265.00	$265.00	$265.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $265.00 / $265.00 / $265.00	Professional		$265.00	$265.00	$265.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $148.50 / $157.54 / $668.25	Facility		$148.50	$157.54	$668.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $148.50 / $148.50 / $148.50	Professional		$148.50	$148.50	$148.50
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $138.91 / $138.91 / $240.33	Facility		$138.91	$138.91	$240.33
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $143.06 / $143.06 / $143.06	Professional		$143.06	$143.06	$143.06
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $148.50 / $157.54 / $668.25	Facility		$148.50	$157.54	$668.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $130.00 / $130.00 / $148.50	Professional		$130.00	$130.00	$148.50
United Facility/Professional Professional Modifier Low / Median / High Price $158.96 / $158.96 / $240.60	Professional		$158.96	$158.96	$240.60
Univera Facility/Professional Facility Modifier Low / Median / High Price $135.19 / $135.19 / $135.19	Facility		$135.19	$135.19	$135.19
Univera Facility/Professional Professional Modifier Low / Median / High Price $135.19 / $135.19 / $135.19	Professional		$135.19	$135.19	$135.19