Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.43 / $49.62 / $77.39	Facility		$32.43	$49.62	$77.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.24 / $43.20 / $70.47	Professional		$28.24	$43.20	$70.47
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 $33.99 / $42.21 / $100.47	Professional		$33.99	$42.21	$100.47
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $39.93 / $39.93 / $6,213.00	Facility		$39.93	$39.93	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $39.93 / $39.93 / $59.98	Professional		$39.93	$39.93	$59.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.58 / $47.58 / $14,648.00	Facility		$47.58	$47.58	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.04 / $56.27 / $134.13	Professional		$30.04	$56.27	$134.13
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $28.80 / $45.00 / $332.00	Facility		$28.80	$45.00	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $47.96 / $65.56 / $95.86	Professional		$47.96	$65.56	$95.86
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $41.18 / $41.18 / $41.18	Facility		$41.18	$41.18	$41.18
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.52 / $50.55 / $92.59	Professional		$36.52	$50.55	$92.59
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $47.58 / $555.00 / $597.00	Facility		$47.58	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $30.88 / $58.61 / $137.50	Professional		$30.88	$58.61	$137.50
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 $38.47 / $55.31 / $142.16	Professional		$38.47	$55.31	$142.16
Univera Facility/Professional Facility Modifier Low / Median / High Price $33.93 / $33.93 / $162.49	Facility		$33.93	$33.93	$162.49
Univera Facility/Professional Professional Modifier Low / Median / High Price $41.18 / $54.59 / $92.59	Professional		$41.18	$54.59	$92.59