Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $161.46 / $187.20 / $280.80	Facility		$161.46	$187.20	$280.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $161.46 / $187.20 / $198.90	Professional		$161.46	$187.20	$198.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $165.36 / $165.36 / $206.70	Facility		$165.36	$165.36	$206.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $206.64 / $465.95	Professional		$0.02	$206.64	$465.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $206.70 / $219.29 / $219.29	Facility		$206.70	$219.29	$219.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $206.70 / $206.70 / $206.70	Professional		$206.70	$206.70	$206.70
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $131.88 / $213.65 / $356.85	Facility		$131.88	$213.65	$356.85
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $214.50 / $214.50 / $267.14	Professional		$214.50	$214.50	$267.14
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $206.70 / $219.29 / $597.00	Facility		$206.70	$219.29	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $206.70 / $206.70 / $248.04	Professional		$206.70	$206.70	$248.04
United Facility/Professional Professional Modifier Low / Median / High Price $234.00 / $234.00 / $345.05	Professional		$234.00	$234.00	$345.05
Univera Facility/Professional Facility Modifier Low / Median / High Price $134.27 / $134.27 / $134.27	Facility		$134.27	$134.27	$134.27
Univera Facility/Professional Professional Modifier Low / Median / High Price $134.27 / $134.27 / $216.83	Professional		$134.27	$134.27	$216.83