Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $125.89 / $1,148.15	Facility		$125.89	$125.89	$1,148.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $199.53	Professional		$125.89	$125.89	$199.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $134.90 / $134.90	Professional		$134.90	$134.90	$134.90
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $117.49 / $117.49	Facility		$117.49	$117.49	$117.49
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $117.49 / $117.49	Professional		$117.49	$117.49	$117.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $147.91 / $50,118.72	Facility		$131.83	$147.91	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $398.11 / $398.11	Professional		$398.11	$398.11	$398.11
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $144.54 / $229.09	Facility		$131.83	$144.54	$229.09
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $131.83 / $151.36	Professional		$100.00	$131.83	$151.36
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $50,118.72 / $53,703.18 / $75,857.76	Facility		$50,118.72	$53,703.18	$75,857.76
United Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $147.91 / $229.09	Professional		$147.91	$147.91	$229.09
Univera Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $112.20 / $112.20	Facility		$97.72	$112.20	$112.20
Univera Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $112.20 / $295.12	Professional		$97.72	$112.20	$295.12