Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $333.25 / $333.25 / $499.88	Facility		$333.25	$333.25	$499.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $287.43 / $333.25 / $354.08	Professional		$287.43	$333.25	$354.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $294.37 / $294.37 / $367.96	Facility		$294.37	$294.37	$367.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $253.81 / $367.96 / $664.47	Professional		$253.81	$367.96	$664.47
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $347.13 / $347.13 / $381.84	Facility		$347.13	$347.13	$381.84
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $347.13 / $347.13 / $347.13	Professional		$347.13	$347.13	$347.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $367.96 / $390.37 / $390.37	Facility		$367.96	$390.37	$390.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $367.96 / $367.96 / $367.96	Professional		$367.96	$367.96	$367.96
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $374.90 / $781.04	Facility		$319.00	$374.90	$781.04
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $374.90 / $374.90 / $475.57	Professional		$374.90	$374.90	$475.57
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $367.96 / $390.37 / $597.00	Facility		$367.96	$390.37	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $337.68 / $367.96 / $745.27	Professional		$337.68	$367.96	$745.27
United Facility/Professional Professional Modifier Low / Median / High Price $357.54 / $357.54 / $482.62	Professional		$357.54	$357.54	$482.62
Univera Facility/Professional Facility Modifier Low / Median / High Price $261.33 / $261.33 / $261.33	Facility		$261.33	$261.33	$261.33
Univera Facility/Professional Professional Modifier Low / Median / High Price $261.33 / $261.33 / $274.39	Professional		$261.33	$261.33	$274.39