Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $130.00 / $130.00 / $195.00	Facility		$130.00	$130.00	$195.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.13 / $130.00 / $138.13	Professional		$112.13	$130.00	$138.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $99.56 / $175.93	Professional		$0.02	$99.56	$175.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $137.80 / $146.19 / $146.19	Facility		$137.80	$146.19	$146.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $137.80 / $137.80 / $137.80	Professional		$137.80	$137.80	$137.80
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $443.10 / $443.10 / $717.82	Facility		$443.10	$443.10	$717.82
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $418.48 / $418.48 / $418.48	Professional		$418.48	$418.48	$418.48
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $137.80 / $146.19 / $597.00	Facility		$137.80	$146.19	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $137.80 / $137.80 / $512.94	Professional		$137.80	$137.80	$512.94
United Facility/Professional Professional Modifier Low / Median / High Price $332.96 / $332.96 / $499.44	Professional		$332.96	$332.96	$499.44
Univera Facility/Professional Facility Modifier Low / Median / High Price $145.60 / $145.60 / $145.60	Facility		$145.60	$145.60	$145.60
Univera Facility/Professional Professional Modifier Low / Median / High Price $145.60 / $145.60 / $145.60	Professional		$145.60	$145.60	$145.60