Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $447.37 / $447.37 / $671.06	Facility		$447.37	$447.37	$671.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $385.85 / $447.37 / $556.97	Professional		$385.85	$447.37	$556.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $395.18 / $395.18 / $493.97	Facility		$395.18	$395.18	$493.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $397.66 / $466.01 / $581.16	Professional		$397.66	$466.01	$581.16
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $428.19 / $428.19 / $449.60	Facility		$428.19	$428.19	$449.60
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $428.19 / $428.19 / $428.19	Professional		$428.19	$428.19	$428.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $472.81 / $487.00 / $487.00	Facility		$472.81	$487.00	$487.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $475.33 / $475.33 / $475.33	Professional		$475.33	$475.33	$475.33
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $475.33 / $1,048.52	Facility		$319.00	$475.33	$1,048.52
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $475.33 / $475.33 / $638.42	Professional		$475.33	$475.33	$638.42
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $475.33 / $487.00 / $597.00	Facility		$475.33	$487.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.57 / $475.33 / $710.20	Professional		$398.57	$475.33	$710.20
United Facility/Professional Facility Modifier Low / Median / High Price $4.26 / $4.26 / $4.26	Facility		$4.26	$4.26	$4.26
United Facility/Professional Professional Modifier Low / Median / High Price $466.01 / $466.01 / $653.03	Professional		$466.01	$466.01	$653.03
Univera Facility/Professional Facility Modifier Low / Median / High Price $155.38 / $155.38 / $155.38	Facility		$155.38	$155.38	$155.38
Univera Facility/Professional Professional Modifier Low / Median / High Price $155.38 / $155.38 / $184.87	Professional		$155.38	$155.38	$184.87