Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.67 / $54.93 / $84.29	Facility		$36.67	$54.93	$84.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.04 / $51.77 / $94.02	Professional		$32.04	$51.77	$94.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $3,373.00 / $4,707.00	Facility		$1,689.00	$3,373.00	$4,707.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.79 / $49.64 / $118.60	Professional		$39.79	$49.64	$118.60
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $44.88 / $44.88 / $44.88	Facility		$44.88	$44.88	$44.88
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $44.88 / $44.88 / $76.87	Professional		$44.88	$44.88	$76.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $53.23 / $53.23 / $14,648.00	Facility		$53.23	$53.23	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.14 / $67.16 / $167.44	Professional		$34.14	$67.16	$167.44
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $19.00 / $38.95 / $332.00	Facility		$19.00	$38.95	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $65.20 / $89.57 / $123.73	Professional		$65.20	$89.57	$123.73
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $52.10 / $52.10 / $52.10	Facility		$52.10	$52.10	$52.10
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.53 / $78.16 / $148.00	Professional		$46.53	$78.16	$148.00
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $53.23 / $555.00 / $597.00	Facility		$53.23	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $34.34 / $71.81 / $162.35	Professional		$34.34	$71.81	$162.35
United Facility/Professional Facility Modifier Low / Median / High Price $964.00 / $2,826.00 / $4,851.00	Facility		$964.00	$2,826.00	$4,851.00
United Facility/Professional Professional Modifier Low / Median / High Price $47.46 / $67.91 / $168.73	Professional		$47.46	$67.91	$168.73
Univera Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $38.02 / $118.55	Facility		$38.02	$38.02	$118.55
Univera Facility/Professional Professional Modifier Low / Median / High Price $52.10 / $76.55 / $148.00	Professional		$52.10	$76.55	$148.00