Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $423.14 / $423.14 / $634.71	Facility		$423.14	$423.14	$634.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $364.95 / $423.14 / $449.58	Professional		$364.95	$423.14	$449.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $341.54 / $341.54 / $426.92	Facility		$341.54	$341.54	$426.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $254.54 / $426.92 / $708.97	Professional		$254.54	$426.92	$708.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $426.92 / $452.92 / $452.92	Facility		$426.92	$452.92	$452.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $426.92 / $426.92 / $426.92	Professional		$426.92	$426.92	$426.92
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $417.85 / $906.19	Facility		$319.00	$417.85	$906.19
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $433.55 / $433.55 / $560.66	Professional		$433.55	$433.55	$560.66
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $426.92 / $452.92 / $597.00	Facility		$426.92	$452.92	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $248.75 / $426.92 / $527.84	Professional		$248.75	$426.92	$527.84
United Facility/Professional Professional Modifier Low / Median / High Price $528.91 / $560.66 / $708.75	Professional		$528.91	$560.66	$708.75
Univera Facility/Professional Facility Modifier Low / Median / High Price $258.95 / $258.95 / $258.95	Facility		$258.95	$258.95	$258.95
Univera Facility/Professional Professional Modifier Low / Median / High Price $258.35 / $258.35 / $258.95	Professional		$258.35	$258.35	$258.95