Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.73 / $67.73 / $101.61	Facility		$67.73	$67.73	$101.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.43 / $67.73 / $71.98	Professional		$58.43	$67.73	$71.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $48.20 / $48.20 / $60.25	Facility		$48.20	$48.20	$60.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $62.99 / $136.66	Professional		$0.02	$62.99	$136.66
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $70.56 / $70.56 / $77.63	Facility		$70.56	$70.56	$77.63
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $70.56 / $70.56 / $70.56	Professional		$70.56	$70.56	$70.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.25 / $63.92 / $63.92	Facility		$60.25	$63.92	$63.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.25 / $60.25 / $60.25	Professional		$60.25	$60.25	$60.25
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $56.83 / $83.83 / $332.00	Facility		$56.83	$83.83	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $71.98 / $71.98 / $89.76	Professional		$71.98	$71.98	$89.76
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $60.25 / $63.92 / $597.00	Facility		$60.25	$63.92	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $60.25 / $60.25 / $140.31	Professional		$60.25	$60.25	$140.31
United Facility/Professional Professional Modifier Low / Median / High Price $70.56 / $70.56 / $104.06	Professional		$70.56	$70.56	$104.06
Univera Facility/Professional Facility Modifier Low / Median / High Price $40.54 / $40.54 / $40.54	Facility		$40.54	$40.54	$40.54
Univera Facility/Professional Professional Modifier Low / Median / High Price $40.54 / $40.54 / $54.55	Professional		$40.54	$40.54	$54.55