Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.16 / $214.16 / $575.67	Facility		$89.16	$214.16	$575.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.16 / $157.07 / $575.67	Professional		$89.16	$157.07	$575.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $360.00 / $544.00	Professional		$100.00	$360.00	$544.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $213.90 / $213.90 / $213.90	Facility		$213.90	$213.90	$213.90
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $213.90 / $213.90 / $213.90	Professional		$213.90	$213.90	$213.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $140.96 / $183.96 / $248.86	Facility		$140.96	$183.96	$248.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $183.96 / $183.96 / $183.96	Professional		$183.96	$183.96	$183.96
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $44,999.55 / $44,999.55 / $44,999.55	Facility		$44,999.55	$44,999.55	$44,999.55
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $38,249.62 / $38,249.62 / $38,249.62	Professional		$38,249.62	$38,249.62	$38,249.62
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $140.96 / $248.86 / $555.00	Facility		$140.96	$248.86	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $183.96 / $183.96 / $183.96	Professional		$183.96	$183.96	$183.96
United Facility/Professional Professional Modifier Low / Median / High Price $215.05 / $215.05 / $294.62	Professional		$215.05	$215.05	$294.62