Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.17 / $136.63 / $229.06	Facility		$62.17	$136.63	$229.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.64 / $68.31 / $80.37	Professional		$59.64	$68.31	$80.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $80.37 / $80.37 / $208.96	Facility		$80.37	$80.37	$208.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.23 / $48.62 / $181.41	Professional		$13.23	$48.62	$181.41
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $48.22 / $80.37 / $80.37	Facility		$48.22	$80.37	$80.37
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $58.67 / $80.37 / $80.37	Professional		$58.67	$80.37	$80.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.16 / $162.52 / $361.32	Facility		$56.16	$162.52	$361.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.90 / $92.10 / $515.98	Professional		$39.90	$92.10	$515.98
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $50.20 / $104.48 / $332.00	Facility		$50.20	$104.48	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $36.72 / $48.22 / $147.08	Professional		$36.72	$48.22	$147.08
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $80.37 / $80.37 / $80.37	Facility		$80.37	$80.37	$80.37
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.81 / $80.37 / $106.62	Professional		$70.81	$80.37	$106.62
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $58.62 / $195.81 / $555.00	Facility		$58.62	$195.81	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $21.50 / $110.46 / $240.00	Professional		$21.50	$110.46	$240.00
United Facility/Professional Professional Modifier Low / Median / High Price $31.50 / $48.22 / $121.81	Professional		$31.50	$48.22	$121.81
Univera Facility/Professional Facility Modifier Low / Median / High Price $92.42 / $92.42 / $295.87	Facility		$92.42	$92.42	$295.87
Univera Facility/Professional Professional Modifier Low / Median / High Price $70.81 / $90.26 / $113.01	Professional		$70.81	$90.26	$113.01