Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.63 / $28.40 / $49.05	Facility		$14.63	$28.40	$49.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.38 / $12.91 / $14.63	Professional		$9.38	$12.91	$14.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $49.00 / $55.00 / $64.00	Facility		$49.00	$55.00	$64.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.65 / $7.65 / $23.74	Professional		$7.65	$7.65	$23.74
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $17.21 / $17.21 / $17.21	Facility		$17.21	$17.21	$17.21
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $12.56 / $17.21 / $17.21	Professional		$12.56	$17.21	$17.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.12 / $34.63 / $44.36	Facility		$17.12	$34.63	$44.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.77 / $25.18 / $82.95	Professional		$13.77	$25.18	$82.95
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $17.21 / $36.14 / $332.00	Facility		$17.21	$36.14	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $18.07 / $22.72 / $37.35	Professional		$18.07	$22.72	$37.35
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.63 / $17.00 / $31.21	Professional		$14.63	$17.00	$31.21
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $17.12 / $41.72 / $60.36	Facility		$17.12	$41.72	$60.36
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $11.19 / $21.51 / $39.58	Professional		$11.19	$21.51	$39.58
United Facility/Professional Professional Modifier Low / Median / High Price $7.23 / $10.33 / $26.08	Professional		$7.23	$10.33	$26.08
Univera Facility/Professional Facility Modifier Low / Median / High Price $17.21 / $19.79 / $19.79	Facility		$17.21	$19.79	$19.79
Univera Facility/Professional Professional Modifier Low / Median / High Price $14.63 / $17.21 / $20.68	Professional		$14.63	$17.21	$20.68