Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $117.49 / $186.21	Facility		$52.48	$117.49	$186.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $46.77 / $60.26	Professional		$33.11	$46.77	$60.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $61.66 / $162.18	Facility		$61.66	$61.66	$162.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $45.71 / $100.00	Professional		$45.71	$45.71	$100.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $61.66 / $61.66	Facility		$61.66	$61.66	$61.66
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $61.66 / $61.66	Professional		$45.71	$61.66	$61.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $131.83 / $158.49	Facility		$40.74	$131.83	$158.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $302.00 / $302.00	Professional		$70.79	$302.00	$302.00
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $102.33 / $239.88	Facility		$61.66	$102.33	$239.88
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $37.15 / $120.23	Professional		$29.51	$37.15	$120.23
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $61.66 / $69.18	Professional		$38.90	$61.66	$69.18
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $117.49 / $50,118.72	Facility		$81.28	$117.49	$50,118.72
United Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $56.23 / $74.13	Facility		$37.15	$56.23	$74.13
United Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $35.48 / $93.33	Professional		$26.30	$35.48	$93.33
Univera Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $61.66 / $70.79	Facility		$37.15	$61.66	$70.79
Univera Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $61.66 / $70.79	Professional		$38.02	$61.66	$70.79