Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.14 / $120.14 / $180.21	Facility		$120.14	$120.14	$180.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.62 / $120.14 / $127.65	Professional		$103.62	$120.14	$127.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $81.06 / $163.54	Professional		$0.02	$81.06	$163.54
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $125.15 / $125.15 / $137.66	Facility		$125.15	$125.15	$137.66
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $125.15 / $125.15 / $125.15	Professional		$125.15	$125.15	$125.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $63.43 / $67.29 / $67.29	Facility		$63.43	$67.29	$67.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.43 / $63.43 / $63.43	Professional		$63.43	$63.43	$63.43
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $59.84 / $117.14 / $332.00	Facility		$59.84	$117.14	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $95.74 / $127.65 / $157.69	Professional		$95.74	$127.65	$157.69
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $63.43 / $67.29 / $597.00	Facility		$63.43	$67.29	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $63.43 / $63.43 / $285.30	Professional		$63.43	$63.43	$285.30
United Facility/Professional Professional Modifier Low / Median / High Price $125.15 / $125.15 / $175.38	Professional		$125.15	$125.15	$175.38
Univera Facility/Professional Facility Modifier Low / Median / High Price $63.41 / $63.41 / $63.41	Facility		$63.41	$63.41	$63.41
Univera Facility/Professional Professional Modifier Low / Median / High Price $63.41 / $63.41 / $64.72	Professional		$63.41	$63.41	$64.72