Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $103.54 / $103.54 / $155.31	Facility		$103.54	$103.54	$155.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.30 / $103.54 / $110.01	Professional		$89.30	$103.54	$110.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.63 / $100.75 / $155.60	Professional		$85.63	$100.75	$155.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $115.20 / $118.65 / $118.65	Facility		$115.20	$118.65	$118.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $473.95 / $473.95 / $473.95	Professional		$473.95	$473.95	$473.95
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $66.88 / $66.88 / $115.70	Facility		$66.88	$66.88	$115.70
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $66.88 / $135.88 / $137.19	Professional		$66.88	$135.88	$137.19
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $115.20 / $118.65 / $74,999.25	Facility		$115.20	$118.65	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $96.00 / $96.00 / $473.95	Professional		$96.00	$96.00	$473.95
United Facility/Professional Professional Modifier Low / Median / High Price $129.41 / $129.41 / $174.70	Professional		$129.41	$129.41	$174.70
Univera Facility/Professional Facility Modifier Low / Median / High Price $103.54 / $103.54 / $103.54	Facility		$103.54	$103.54	$103.54
Univera Facility/Professional Professional Modifier Low / Median / High Price $103.54 / $103.54 / $103.54	Professional		$103.54	$103.54	$103.54