Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $72.44 / $117.49	Facility		$33.11	$72.44	$117.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $30.20 / $46.77	Professional		$20.89	$30.20	$46.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $38.90 / $100.00	Facility		$38.90	$38.90	$100.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $15.49 / $69.18	Professional		$15.49	$15.49	$69.18
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $38.90 / $38.90	Facility		$22.91	$38.90	$38.90
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $38.90 / $38.90	Professional		$28.18	$38.90	$38.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $83.18 / $100.00	Facility		$25.12	$83.18	$100.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $44.67 / $186.21	Professional		$21.88	$44.67	$186.21
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $50.12 / $107.15	Facility		$32.36	$50.12	$107.15
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $23.44 / $74.13	Professional		$18.20	$23.44	$74.13
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $23.44 / $23.44	Facility		$23.44	$23.44	$23.44
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $33.11 / $43.65	Professional		$23.44	$33.11	$43.65
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $72.44 / $50,118.72	Facility		$50.12	$72.44	$50,118.72
United Facility/Professional Facility Modifier Low / Median / High Price $10.23 / $34.67 / $46.77	Facility		$10.23	$34.67	$46.77
United Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $21.88 / $57.54	Professional		$16.22	$21.88	$57.54
Univera Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $28.18 / $45.71	Facility		$23.44	$28.18	$45.71
Univera Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $33.11 / $46.77	Professional		$23.44	$33.11	$46.77