Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.65 / $125.50 / $1,157.86	Facility		$49.65	$125.50	$1,157.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.50 / $125.50 / $153.71	Professional		$125.50	$125.50	$153.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $135.00 / $135.00 / $154.04	Professional		$135.00	$135.00	$154.04
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $117.14 / $117.14 / $117.14	Facility		$117.14	$117.14	$117.14
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $117.14 / $117.14 / $117.14	Professional		$117.14	$117.14	$117.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $137.94 / $146.35 / $620.78	Facility		$137.94	$146.35	$620.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $137.94 / $137.94 / $137.94	Professional		$137.94	$137.94	$137.94
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $106.49 / $170.78 / $332.00	Facility		$106.49	$170.78	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $106.49 / $132.88 / $152.82	Professional		$106.49	$132.88	$152.82
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $137.94 / $146.35 / $620.78	Facility		$137.94	$146.35	$620.78
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $127.00 / $127.00 / $137.94	Professional		$127.00	$127.00	$137.94
United Facility/Professional Professional Modifier Low / Median / High Price $147.65 / $147.65 / $228.64	Professional		$147.65	$147.65	$228.64
Univera Facility/Professional Facility Modifier Low / Median / High Price $98.56 / $98.56 / $98.56	Facility		$98.56	$98.56	$98.56
Univera Facility/Professional Professional Modifier Low / Median / High Price $98.56 / $98.56 / $111.81	Professional		$98.56	$98.56	$111.81