Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.81 / $108.75 / $177.10	Facility		$50.81	$108.75	$177.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.86 / $33.86 / $52.82	Professional		$33.86	$33.86	$52.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $51.00 / $62.14 / $145.41	Facility		$51.00	$62.14	$145.41
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.90 / $45.77 / $103.57	Professional		$37.90	$45.77	$103.57
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $62.14 / $62.14 / $62.14	Facility		$62.14	$62.14	$62.14
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $45.36 / $62.14 / $62.14	Professional		$45.36	$62.14	$62.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.43 / $125.78 / $161.16	Facility		$43.43	$125.78	$161.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.45 / $89.31 / $299.51	Professional		$71.45	$89.31	$299.51
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $62.14 / $130.49 / $332.00	Facility		$62.14	$130.49	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $24.86 / $36.65 / $116.20	Professional		$24.86	$36.65	$116.20
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.92 / $59.03 / $69.79	Professional		$38.92	$59.03	$69.79
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $60.59 / $131.53 / $165.80	Facility		$60.59	$131.53	$165.80
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $40.39 / $46.61 / $128.01	Professional		$40.39	$46.61	$128.01
United Facility/Professional Professional Modifier Low / Median / High Price $26.10 / $33.60 / $91.27	Professional		$26.10	$33.60	$91.27
Univera Facility/Professional Facility Modifier Low / Median / High Price $62.14 / $71.45 / $71.45	Facility		$62.14	$71.45	$71.45
Univera Facility/Professional Professional Modifier Low / Median / High Price $38.92 / $62.14 / $74.69	Professional		$38.92	$62.14	$74.69