Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $46.77 / $75.86	Facility		$21.38	$46.77	$75.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $19.95 / $25.70	Professional		$15.14	$19.95	$25.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $28.84 / $56.23	Professional		$28.84	$28.84	$56.23
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $25.12 / $25.12	Facility		$25.12	$25.12	$25.12
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $25.12 / $25.12	Professional		$18.20	$25.12	$25.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $53.70 / $64.57	Facility		$16.22	$53.70	$64.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $36.31 / $120.23	Professional		$25.12	$36.31	$120.23
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $41.69 / $95.50	Facility		$25.12	$41.69	$95.50
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $33.11 / $48.98	Professional		$26.30	$33.11	$48.98
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $24.55 / $44.67	Professional		$19.95	$24.55	$44.67
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $46.77 / $50,118.72	Facility		$32.36	$46.77	$50,118.72
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $25.12 / $25.70	Professional		$25.12	$25.12	$25.70
United Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $25.12 / $30.20	Facility		$22.39	$25.12	$30.20
United Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $15.14 / $33.11	Professional		$10.47	$15.14	$33.11
Univera Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $25.12 / $28.84	Facility		$15.14	$25.12	$28.84
Univera Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $25.12 / $48.98	Professional		$19.95	$25.12	$48.98