Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $216.92 / $216.92 / $216.92	Facility		$216.92	$216.92	$216.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $216.91 / $216.92 / $238.61	Professional		$216.91	$216.92	$238.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $187.08 / $187.08 / $187.08	Professional		$187.08	$187.08	$187.08
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $212.67 / $212.67 / $233.94	Facility		$212.67	$212.67	$233.94
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $212.67 / $212.67 / $212.67	Professional		$212.67	$212.67	$212.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $238.19 / $252.70 / $1,071.85	Facility		$238.19	$252.70	$1,071.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $238.19 / $238.19 / $238.19	Professional		$238.19	$238.19	$238.19
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $229.68 / $229.68 / $397.35	Facility		$229.68	$229.68	$397.35
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $229.68 / $229.68 / $229.68	Professional		$229.68	$229.68	$229.68
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $238.19 / $252.70 / $1,071.85	Facility		$238.19	$252.70	$1,071.85
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $152.50 / $152.50 / $238.19	Professional		$152.50	$152.50	$238.19
United Facility/Professional Professional Modifier Low / Median / High Price $219.05 / $255.20 / $331.56	Professional		$219.05	$255.20	$331.56
Univera Facility/Professional Facility Modifier Low / Median / High Price $161.63 / $161.63 / $161.63	Facility		$161.63	$161.63	$161.63
Univera Facility/Professional Professional Modifier Low / Median / High Price $161.63 / $161.63 / $167.29	Professional		$161.63	$161.63	$167.29