Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.21 / $74.78 / $125.37	Facility		$38.21	$74.78	$125.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.32 / $32.65 / $43.99	Professional		$23.32	$32.65	$43.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $43.99 / $43.99 / $114.37	Facility		$43.99	$43.99	$114.37
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.93 / $26.61 / $99.28	Professional		$19.93	$26.61	$99.28
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $26.39 / $43.99 / $43.99	Facility		$26.39	$43.99	$43.99
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $32.11 / $43.99 / $43.99	Professional		$32.11	$43.99	$43.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.74 / $89.03 / $452.25	Facility		$30.74	$89.03	$452.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.75 / $49.31 / $225.86	Professional		$32.75	$49.31	$225.86
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $45.70 / $79.06 / $332.00	Facility		$45.70	$79.06	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $17.60 / $26.39 / $80.50	Professional		$17.60	$26.39	$80.50
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.39 / $43.99 / $58.39	Professional		$37.39	$43.99	$58.39
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $40.31 / $107.27 / $525.39	Facility		$40.31	$107.27	$525.39
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $35.29 / $60.00 / $90.62	Professional		$35.29	$60.00	$90.62
United Facility/Professional Facility Modifier Low / Median / High Price $28.59 / $30.18 / $33.18	Facility		$28.59	$30.18	$33.18
United Facility/Professional Professional Modifier Low / Median / High Price $18.48 / $26.39 / $65.98	Professional		$18.48	$26.39	$65.98
Univera Facility/Professional Facility Modifier Low / Median / High Price $50.59 / $50.59 / $123.08	Facility		$50.59	$50.59	$123.08
Univera Facility/Professional Professional Modifier Low / Median / High Price $38.77 / $49.17 / $72.27	Professional		$38.77	$49.17	$72.27